Sandlin, Robert
Sandlin, Robert is an sole proprietor health care provider with primary practice located at 22097 Medical Village Dr , Athens AL 35613-2904. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Sandlin, Robert can be contacted via phone (256) 232-4527.Contact Information
Primary practice address
22097 Medical Village Dr
Athens AL 35613-2904
Phone: (256) 232-4527
Fax: (256) 232-9427
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | S591-TA-080 | Alabama |
Profile Details
NPI number | 1700860111 |
---|---|
LBN Legal business name | Sandlin, Robert |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 30th, 2005 |
Last updated | Dec 28th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1700860111 | NPPES |
Alabama | MEDICAID | 000059836 |
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