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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ROBIN MEVISSEN, OD

Active Sole Proprietor

ROBIN MEVISSEN, OD is a Optometrist healthcare provider located in POOLESVILLE, Maryland. NPI 1164500864 is currently active in the NPPES registry. Verify at CMS.

Optometrist · POOLESVILLE, MD

Registration Details

NPI Number
1164500864
Provider Type
Individual
Gender
Female
NPI Issued
Nov 1, 2006 (19.601999596075 yrs)
Last Updated
Jul 26, 2011
Licenses
TA1222 (MD)
0618000326 (VA)
Sole Proprietor
Yes

Practice Information

Address
20005 B FISHER AVE
POOLESVILLE, MD, 20837
Browse MD providers · Browse ZIP 20837
Phone
3019163214
Fax
3019163101
Primary Specialty
Optometrist
152W00000X
Additional Specialty
Optometrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.