Provider Demographics
NPI:1023719184
Name:EATON, ROBIN ANNETTE
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:ANNETTE
Last Name:EATON
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:PO BOX 145
Mailing Address - Street 2:
Mailing Address - City:EAST FLAT ROCK
Mailing Address - State:NC
Mailing Address - Zip Code:28726-0145
Mailing Address - Country:US
Mailing Address - Phone:828-692-1320
Mailing Address - Fax:828-693-3721
Practice Address - Street 1:1630 SPARTANBURG HWY STE B
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-6828
Practice Address - Country:US
Practice Address - Phone:828-692-1320
Practice Address - Fax:828-693-3721
Is Sole Proprietor?:No
Enumeration Date:2023-03-15
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1361156FX1800X
NC1373237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
No156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician