Individual
CUBDEERIX ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1689 NONCONNAH BLVD STE 120, MEMPHIS, TN 38132-2111
(901) 271-4900
Mailing address
503 W SECOND ST, YAZOO CITY, MS 39194-3474
(662) 590-5181
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618003291
VA
152W00000X
Optometrist
Primary
1041
MS
152W00000X
Optometrist
OET009166
PA
152W00000X
Optometrist
TA3038
MD
Other
Enumeration date
08/05/2021
Last updated
09/25/2024
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