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General NPI Number Information
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NPI Number | 1942331723
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Entity Type | Individual
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Provider Name | ROBIN LARSON ROY O.D.
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Gender | Female
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4474 EVERHARD RD NW
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City | CANTON
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State | OH
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Zip | 44718-2418
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Country | US
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Telephone | 330-494-4445
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Fax |
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Provider Business Mailing Address
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Address Line | 1160 AUBURN AVE.
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City | CLEVELAND
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State | OH
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Zip | 44113
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Country | US
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Telephone | 216-298-9092
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 2949
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License Number State | OH
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