Individual
DR. NIKKI LYNN ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3101 SHANNON RD, DURHAM, NC 27707-3571
(919) 493-8508
(919) 676-2231
Mailing address
7100 SIX FORKS RD, SUITE 301, RALEIGH, NC 27615-6156
(919) 847-0187
(919) 676-2231
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
00004135
WA
152W00000X
Optometrist
Primary
2171
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0931X
BCBS NC
NC
05
—
5920321
—
NC
Enumeration date
07/27/2007
Last updated
03/29/2013
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