MEDICARE: DR. ROBERT PATRICK SENKO 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	PA-OEG001537	PA

General Provider Information

NPI Number	:	1336129436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT PATRICK SENKO O.D.

Provider Business Mailing Address
First Line	:	NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DRIVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92134-0001
Country	:	US
Telephone Number	:	619-532-6705
Fax Number	:

Provider Business Practice Location Address
First Line	:	NAVAL MEDICAL CENTER SAN DIEGO 34800 BOB WILSON DRIVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92134-3048
Country	:	US
Telephone Number	:	619-532-9830
Fax Number	:

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

Provider Enumeration Date	:	01/17/2006
Last Update Date	:	12/06/2023

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