=====================================================
General NPI Number Information
=====================================================
NPI Number | 1831416320
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DR ROBERT MURPHY INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/23/2010
-----------------------------------------------------
Last Update Date | 01/25/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 863 E MARKET ST
-----------------------------------------------------
City | AKRON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44305-2442
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-376-9377
-----------------------------------------------------
Fax | 330-376-2999
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 863 E MARKET ST
-----------------------------------------------------
City | AKRON
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44305-2442
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-376-9377
-----------------------------------------------------
Fax | 330-376-2999
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. ROBERT MURPHY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 330-376-9377
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 152W00000X
-----------------------------------------------------
Taxonomy Name | Optometrist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------