Individual
MRS. ROBIN SHIVERDECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED OPTICIAN
Contact information
Practice address
210 N COMMERCE ST, LEWISBURG, OH 45338-9343
(937) 962-4444
(937) 962-4443
Mailing address
PO BOX 658, LEWISBURG, OH 45338-0658
(937) 962-4444
(937) 962-4443
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
5728S
OH
Other
Enumeration date
04/15/2008
Last updated
04/15/2008
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