Individual
DR. ROBERT GREGG RAINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5617 W BROAD ST, RICHMOND, VA 23230-2614
(804) 282-7228
(804) 285-3781
Mailing address
5617 W BROAD ST, RICHMOND, VA 23230-2614
(804) 282-7228
(804) 285-3781
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000110
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9237411
—
VA
Enumeration date
09/28/2006
Last updated
01/30/2009
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