Provider Demographics
NPI:1255479200
Name:MESSNER, ROBERT CARL (OD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:CARL
Last Name:MESSNER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1900 HIGHLAND DR
Mailing Address - Street 2:
Mailing Address - City:SALADO
Mailing Address - State:TX
Mailing Address - Zip Code:76571-9333
Mailing Address - Country:US
Mailing Address - Phone:254-946-5422
Mailing Address - Fax:
Practice Address - Street 1:58TH ST. & 761ST TANK BATTALION. AVE
Practice Address - Street 2:
Practice Address - City:FORT HOOD
Practice Address - State:TX
Practice Address - Zip Code:76544-4752
Practice Address - Country:US
Practice Address - Phone:254-285-6305
Practice Address - Fax:254-285-6193
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOET008713152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist