Provider Demographics
NPI:1952371262
Name:STROHL, ROBERT D (OD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:D
Last Name:STROHL
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1049 BETHEL RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-2609
Mailing Address - Country:US
Mailing Address - Phone:614-326-1830
Mailing Address - Fax:614-326-1832
Practice Address - Street 1:1049 BETHEL RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220-2609
Practice Address - Country:US
Practice Address - Phone:614-326-1830
Practice Address - Fax:614-326-1832
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-26
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2742152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2742Medicare UPIN
OHST0615726Medicare PIN