Provider Demographics
NPI:1831415389
Name:ROBIN SEMEGRAN, OD, PC
Entity type:Organization
Organization Name:ROBIN SEMEGRAN, OD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:H
Authorized Official - Last Name:SEMEGRAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:201-945-8330
Mailing Address - Street 1:71 GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:PALISADES PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07650-1054
Mailing Address - Country:US
Mailing Address - Phone:201-945-8330
Mailing Address - Fax:201-945-8365
Practice Address - Street 1:71 GRAND AVE
Practice Address - Street 2:
Practice Address - City:PALISADES PARK
Practice Address - State:NJ
Practice Address - Zip Code:07650-1054
Practice Address - Country:US
Practice Address - Phone:201-945-8330
Practice Address - Fax:201-945-8365
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-08
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty