Provider Demographics
NPI:1689718728
Name:ROBSON, SHERI J (OD)
Entity Type:Individual
Prefix:DR
First Name:SHERI
Middle Name:J
Last Name:ROBSON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 149
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:TX
Mailing Address - Zip Code:75751-0149
Mailing Address - Country:US
Mailing Address - Phone:903-675-2697
Mailing Address - Fax:903-677-2697
Practice Address - Street 1:222 S PALESTINE ST
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:TX
Practice Address - Zip Code:75751-2508
Practice Address - Country:US
Practice Address - Phone:903-675-2697
Practice Address - Fax:903-677-2697
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2013-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3525152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXT15603Medicare UPIN