Provider Demographics
NPI:1750423927
Name:APPLE, ROBIN ANNETTE (OD)
Entity type:Individual
Prefix:DR
First Name:ROBIN
Middle Name:ANNETTE
Last Name:APPLE
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 1:10206 ROCKVIEW TER
Mailing Address - Street 2:
Mailing Address - City:CHELTENHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20623-1237
Mailing Address - Country:US
Mailing Address - Phone:301-782-7553
Mailing Address - Fax:
Practice Address - Street 1:3401 DONNELL DR
Practice Address - Street 2:
Practice Address - City:FORESTVILLE
Practice Address - State:MD
Practice Address - Zip Code:20747-3210
Practice Address - Country:US
Practice Address - Phone:310-516-7770
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA1516152W00000X, 152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered152W00000XEye and Vision Services ProvidersOptometrist
Not Answered152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDMD1516OtherPROVIDER NUMBER
MDTA1516OtherOPTOMETRICE STATE LICENSE