Individual
DR. ROBERT A COLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2209 N 5TH ST, ELKO, NV 89801-2458
(775) 738-8491
(775) 738-3313
Mailing address
2209 N 5TH ST, ELKO, NV 89801-2458
(775) 738-8491
(775) 738-3313
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
149
NV
152WC0802X
Corneal and Contact Management Optometrist
149
NV
152WL0500X
Low Vision Rehabilitation Optometrist
149
NV
152WP0200X
Pediatric Optometrist
149
NV
152WS0006X
Sports Vision Optometrist
149
NV
152WX0102X
Occupational Vision Optometrist
149
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00010029440
TAT
NV
05
—
002504520
—
NV
01
—
0373120001
DMERC PIN
NV
01
—
410021227
RR MEDICARE
NV
01
—
627631
BCBS MEDIGAP
NV
01
—
WCHMJ
GROUP MEDICARE PIN
NV
Enumeration date
07/12/2005
Last updated
04/12/2021
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