Provider Demographics
NPI:1992805402
Name:CURRIN, ROBERT M (OD PA)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:M
Last Name:CURRIN
Suffix:
Gender:M
Credentials:OD PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 EAST INDUSTRY DR B
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27565-4001
Mailing Address - Country:US
Mailing Address - Phone:919-693-1133
Mailing Address - Fax:
Practice Address - Street 1:203 E INDUSTRY DR STE B
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:NC
Practice Address - Zip Code:27565-4001
Practice Address - Country:US
Practice Address - Phone:919-693-1133
Practice Address - Fax:919-693-1134
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1149152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8909192Medicaid
NC246464Medicare PIN