Organization
HEATHER A ROBBEN OD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATHER A ROBBEN OD (OPTOMETRIST)
(785) 259-3097
Entity
Organization
Contact information
Practice address
308 N 6TH ST, WAKEENEY, KS 67672-1802
(785) 743-5522
Mailing address
PO BOX 458, WAKEENEY, KS 67672-0458
(785) 743-5522
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1751
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200402860A
—
KS
01
—
6152030001
MEDICARE DME
KS
01
—
651156
BLUE CROSS BLUE SHIELD
KS
01
—
P00436065
MEDICARE RAILROAD
KS
Enumeration date
03/14/2012
Last updated
07/09/2013
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