Individual
ROBIN THERESA COLLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
576 JEFFERSON AVE, FORT EUSTIS, VA 23604-1373
(757) 314-7620
Mailing address
576 JEFFERSON AVE, FORT EUSTIS, VA 23604-1373
(757) 314-7620
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002023
VA
152W00000X
Optometrist
27OA00600800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0103926
—
NJ
Enumeration date
07/05/2006
Last updated
08/01/2024
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