Individual
DR. ROBERT SHANE SVENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
425 E 10TH ST, SUITE C, ANNISTON, AL 36207-4787
(256) 236-7516
Mailing address
425 E 10TH ST, SUITE C, ANNISTON, AL 36207-4787
(256) 236-7516
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPT001147
GA
152WC0802X
Corneal and Contact Management Optometrist
Primary
S-646-TA-124
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000058010
—
AL
05
—
000058426
—
AL
Enumeration date
09/27/2006
Last updated
09/30/2010
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