Healthcare Provider Details

I. General information

NPI: 1871601633
Provider Name (Legal Business Name): ROBERT OTTO LAUVER OD, FNORA, FCOVD,
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 01/21/2025
Certification Date: 01/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 LANCASTER AVE
STRASBURG PA
17579-1106
US

IV. Provider business mailing address

1950 OLD GALLOWS RD STE 520
VIENNA VA
22182-3970
US

V. Phone/Fax

Practice location:
  • Phone: 717-687-8141
  • Fax: 717-388-4817
Mailing address:
  • Phone: 703-847-8899
  • Fax: 571-223-6780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOEG000011
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: