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General NPI Number Information
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NPI Number | 1740675388
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Entity Type | Organization
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Legal Business Name | ROBINSON VISION, PC
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Dates
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Enumeration Date | 03/31/2015
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Last Update Date | 01/17/2017
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Provider Practice Location Address
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Address Line | 440 WADSWORTH BLVD
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City | LAKEWOOD
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State | CO
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Zip | 80226-1510
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Country | US
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Telephone | 303-205-0772
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Fax |
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Provider Business Mailing Address
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Address Line | 440 WADSWORTH BLVD
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City | LAKEWOOD
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State | CO
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Zip | 80226-1510
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Country | US
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Telephone | 303-205-0772
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST/PRESIDENT
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Name | DR. RICHARD THOMAS ROBINSON
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Credential | OD
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Telephone | 303-205-0772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2090
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License Number State | CO
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