Provider Demographics
NPI:1922878636
Name:ROBIN, CAREY ANN
Entity Type:Individual
Prefix:
First Name:CAREY
Middle Name:ANN
Last Name:ROBIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:231 BLUEBELL DR SW
Mailing Address - Street 2:
Mailing Address - City:NEW PHILADELPHIA
Mailing Address - State:OH
Mailing Address - Zip Code:44663-9601
Mailing Address - Country:US
Mailing Address - Phone:330-339-6016
Mailing Address - Fax:330-339-6434
Practice Address - Street 1:231 BLUEBELL DR SW
Practice Address - Street 2:
Practice Address - City:NEW PHILADELPHIA
Practice Address - State:OH
Practice Address - Zip Code:44663-9601
Practice Address - Country:US
Practice Address - Phone:330-339-6016
Practice Address - Fax:330-339-6434
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-03
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOP.010513-SC156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician