Individual
DR. ROBIN BARRY VALENTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009226
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046009226
—
IL
01
—
R01534
MEDICARE PTAN
IL
Enumeration date
08/29/2005
Last updated
05/19/2020
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