Svensen, Robert Shane
Svensen, Robert Shane is an sole proprietor health care provider with primary practice located at 425 E 10Th St Suite C, Anniston AL 36207-4787. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Corneal and Contact Management is his primary health care specialty. Svensen, Robert Shane can be contacted via phone (256) 236-7516.Contact Information
Primary practice address
425 E 10Th St Suite C
Anniston AL 36207-4787
Phone: (256) 236-7516
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT001147 | Georgia |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | S-646-TA-124 | Alabama |
Profile Details
| NPI number | 1245321231 |
|---|---|
| LBN Legal business name | Svensen, Robert Shane |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 27th, 2006 |
| Last updated | Sep 30th, 2010 - about 15 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 | 1245321231 | NPPES |
| Alabama | MEDICAID | 000058010 | |
| Alabama | MEDICAID | 000058426 |
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