Individual
DR. ROBYN LEIGH DRAGOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
25500 MEADOWBROOK RD STE 135, NOVI, MI 48375-1880
(248) 893-6180
(248) 348-3593
Mailing address
4049 W MAPLE RD, WIXOM, MI 48393-1713
(248) 348-1032
(248) 348-3593
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901003870
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
230630
NVA
MI
01
—
9-18418
EYEMED
MI
01
—
900F367220
BLUE CROSS BLUE SHIELD
MI
Enumeration date
03/19/2007
Last updated
11/20/2019
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