Healthcare Provider Details

I. General information

NPI: 1659411320
Provider Name (Legal Business Name): ROBISON VISION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 02/06/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5957 W 44TH AVE
DENVER CO
80212-7410
US

IV. Provider business mailing address

PO BOX 745819
ARVADA CO
80006-5819
US

V. Phone/Fax

Practice location:
  • Phone: 303-222-4459
  • Fax: 303-477-5968
Mailing address:
  • Phone: 720-272-4940
  • Fax: 303-477-5968

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number2242
License Number StateCO

VIII. Authorized Official

Name: COLIN ROBISON
Title or Position: PRESIDENT
Credential: OD
Phone: 303-222-4459