Provider Demographics
NPI:1700973286
Name:CHERYL K ROBSON
Entity Type:Organization
Organization Name:CHERYL K ROBSON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:K
Authorized Official - Last Name:ROBSON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:540-665-0541
Mailing Address - Street 1:2015 S LOUDOUN ST
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-3612
Mailing Address - Country:US
Mailing Address - Phone:540-665-0541
Mailing Address - Fax:540-665-8286
Practice Address - Street 1:2015 S LOUDOUN ST
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-3612
Practice Address - Country:US
Practice Address - Phone:540-665-0541
Practice Address - Fax:540-665-8286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC09737Medicare PIN