1588747828 NPI number — DR. ROBERT M CURRIN OD,PA

Table of content: DANIEL CHARLES BIRNBAUM M.D. (NPI 1447368410)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1588747828 NPI number — DR. ROBERT M CURRIN OD,PA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DR. ROBERT M CURRIN OD,PA
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1588747828
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4172 INDIAN TRAIL RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OXFORD
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27565-7596
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
919-693-1785
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1555 LAKE RD HWY 56
Provider Second Line Business Practice Location Address:
SUITE 5-B
Provider Business Practice Location Address City Name:
CREEDMOOR
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27522
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
919-528-3781
Provider Business Practice Location Address Fax Number:
919-528-0000
Provider Enumeration Date:
10/23/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
CURRIN
Authorized Official First Name:
ROBERT
Authorized Official Middle Name:
Authorized Official Title or Position:
OPTOMETRIST
Authorized Official Telephone Number:
919-693-1133

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  1149 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)