Sunderman, Robert

Sunderman, Robert is an individual health care provider with primary practice located at 92 Alexandria Pike , Fort Thomas KY 41075-1729. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Sunderman, Robert can be contacted via phone (859) 781-2000.

Contact Information

Primary practice address
92 Alexandria Pike Fort Thomas KY 41075-1729
Phone: (859) 781-2000
Fax: (859) 781-8122
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2116DT Kentucky

Profile Details

NPI number 1336611557
LBN Legal business name Sunderman, Robert
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2018
Last updated Dec 28th, 2018 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336611557 NPPES
Kentucky Other 2116 KY STATE LICENSE NUMBER

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