Individual
DR. ROBERT SUNDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
92 ALEXANDRIA PIKE, FORT THOMAS, KY 41075-1729
(859) 781-2000
(859) 781-8122
Mailing address
92 ALEXANDRIA PIKE, FORT THOMAS, KY 41075-1729
(859) 781-2000
(859) 781-8122
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2116DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2116
KY STATE LICENSE NUMBER
KY
Enumeration date
12/28/2018
Last updated
12/28/2018
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