Provider Demographics
NPI:1659893865
Name:ROBYN A PAPE OD LLC
Entity Type:Organization
Organization Name:ROBYN A PAPE OD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBYN
Authorized Official - Middle Name:A
Authorized Official - Last Name:PAPE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:740-691-5008
Mailing Address - Street 1:443 GENERAL HARTINGER PKWY
Mailing Address - Street 2:
Mailing Address - City:MIDDLEPORT
Mailing Address - State:OH
Mailing Address - Zip Code:45760-1251
Mailing Address - Country:US
Mailing Address - Phone:740-691-5008
Mailing Address - Fax:740-691-5009
Practice Address - Street 1:443 GENERAL HARTINGER PKWY
Practice Address - Street 2:
Practice Address - City:MIDDLEPORT
Practice Address - State:OH
Practice Address - Zip Code:45760-1251
Practice Address - Country:US
Practice Address - Phone:740-691-5008
Practice Address - Fax:740-691-5009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5076152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty