# ROBERTS SHOES, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942435490
- **Authorized official:** MR. MARK S SIMON (PRESIDENT)
- **Authorized official phone:** (612) 823-7229

## Contact information

- **Practice address:** 740 E LAKE ST, MINNEAPOLIS, MN 55407-1547
- **Practice address phone:** (612) 823-7229
- **Practice address fax:** (612) 823-6750
- **Mailing address:** 740 E LAKE ST, MINNEAPOLIS, MN 55407-1547
- **Mailing address phone:** (612) 823-7229
- **Mailing address fax:** (612) 823-6750

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335E00000X | Prosthetic/Orthotic Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 05/27/2009
- **Last updated:** 05/27/2009