Healthcare Provider Details

I. General information

NPI: 1750423927
Provider Name (Legal Business Name): ROBIN ANNETTE APPLE O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 DONNELL DR
FORESTVILLE MD
20747-3210
US

IV. Provider business mailing address

10206 ROCKVIEW TER
CHELTENHAM MD
20623-1237
US

V. Phone/Fax

Practice location:
  • Phone: 310-516-7770
  • Fax:
Mailing address:
  • Phone: 301-782-7553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberTA1516
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License NumberTA1516
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: