Healthcare Provider Details

I. General information

NPI: 1700973286
Provider Name (Legal Business Name): CHERYL K ROBSON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 10/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2015 S LOUDOUN ST
WINCHESTER VA
22601-3612
US

IV. Provider business mailing address

2015 S LOUDOUN ST
WINCHESTER VA
22601-3612
US

V. Phone/Fax

Practice location:
  • Phone: 540-665-0541
  • Fax: 540-665-8286
Mailing address:
  • Phone: 540-665-0541
  • Fax: 540-665-8286

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. CHERYL K ROBSON
Title or Position: OWNER/OPTOMETRIST
Credential: OD
Phone: 540-665-0541