Healthcare Provider Details

I. General information

NPI: 1912995986
Provider Name (Legal Business Name): ROBBIE J PAIROLERO O.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2005
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1536 HASLETT RD
HASLETT MI
48840-8472
US

IV. Provider business mailing address

PO BOX 116
PERRY MI
48872-0116
US

V. Phone/Fax

Practice location:
  • Phone: 517-339-4100
  • Fax: 517-339-4199
Mailing address:
  • Phone: 517-697-0845
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152WP0200X
TaxonomyPediatric Optometrist
License Number4901004156
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number4901004156
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code152WX0102X
TaxonomyOccupational Vision Optometrist
License Number4901004156
License Number StateMI
# 4
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number4901004156
License Number StateMI
# 5
Primary TaxonomyN
Taxonomy Code152WL0500X
TaxonomyLow Vision Rehabilitation Optometrist
License Number4901004156
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: