Provider Demographics
NPI:1962844316
Name:EPLEY, ROBYN (OD)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:
Last Name:EPLEY
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 1:601 ROOSEVELT AVE
Mailing Address - Street 2:
Mailing Address - City:COUNCIL BLUFFS
Mailing Address - State:IA
Mailing Address - Zip Code:51503-1889
Mailing Address - Country:US
Mailing Address - Phone:605-290-3212
Mailing Address - Fax:
Practice Address - Street 1:1505 W BROADWAY STE 3-5
Practice Address - Street 2:
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51501-3966
Practice Address - Country:US
Practice Address - Phone:712-322-3097
Practice Address - Fax:712-322-4130
Is Sole Proprietor?:No
Enumeration Date:2013-07-26
Last Update Date:2018-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA002599152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist