Provider Demographics
NPI:1710974308
Name:STEIN, ROBERT H (OD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:H
Last Name:STEIN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 CONSERVATORY DR
Mailing Address - Street 2:
Mailing Address - City:BARBERTON
Mailing Address - State:OH
Mailing Address - Zip Code:44203-4281
Mailing Address - Country:US
Mailing Address - Phone:330-745-4404
Mailing Address - Fax:330-753-9162
Practice Address - Street 1:31 CONSERVATORY DR
Practice Address - Street 2:
Practice Address - City:BARBERTON
Practice Address - State:OH
Practice Address - Zip Code:44203-4281
Practice Address - Country:US
Practice Address - Phone:330-745-4404
Practice Address - Fax:330-753-9162
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2582152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1048598OtherAETNA
OH000000141885OtherANTHEM
OH0266520001OtherADMINISTAR
OH2200461OtherUNITED HEALTH CARE
OH8409752Medicaid
OH8409752Medicaid
OHU10998Medicare UPIN