Individual
DR. BRIAN W ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5100 HIGHWAY 31, CALERA, AL 35040-5154
(205) 668-2633
(205) 668-4269
Mailing address
5100 HIGHWAY 31, CALERA, AL 35040-5154
(205) 668-2633
(205) 668-4269
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S991-TA563
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02-0691178
TAX ID
AL
Enumeration date
03/22/2006
Last updated
10/06/2011
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