MEDICARE: DR. ROBERT ALLAN SHAPIRO O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	0618000517	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1154435980
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT ALLAN SHAPIRO O.D.

Provider Business Mailing Address
First Line	:	7906 MARSHALL AVE
Second Line	:	SUITE B
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23605-2253
Country	:	US
Telephone Number	:	757-826-0197
Fax Number	:	757-838-0809

Provider Business Practice Location Address
First Line	:	7906 MARSHALL AVE
Second Line	:	SUITE B
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23605-2253
Country	:	US
Telephone Number	:	757-826-0197
Fax Number	:	757-838-0809

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	05/20/2008

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