Individual
EDWIN H. ROBISON III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
460 HWY 528, BERNALILLO, NM 87004-6633
(505) 771-4883
(505) 771-4885
Mailing address
460 HWY 528, BERNALILLO, NM 87004-6633
(505) 771-4883
(505) 771-4885
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
244
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P1466
—
NM
Enumeration date
10/24/2005
Last updated
01/26/2010
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