Provider Demographics
NPI:1992890206
Name:REESMAN, ROBYN RANDALL (OD)
Entity type:Individual
Prefix:DR
First Name:ROBYN
Middle Name:RANDALL
Last Name:REESMAN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 E PALISADES DR
Mailing Address - Street 2:
Mailing Address - City:SIGNAL MOUNTAIN
Mailing Address - State:TN
Mailing Address - Zip Code:37377-3024
Mailing Address - Country:US
Mailing Address - Phone:423-517-0238
Mailing Address - Fax:423-517-0238
Practice Address - Street 1:2001 GLENN BLVD SW
Practice Address - Street 2:
Practice Address - City:FORT PAYNE
Practice Address - State:AL
Practice Address - Zip Code:35968-3535
Practice Address - Country:US
Practice Address - Phone:256-997-0153
Practice Address - Fax:256-997-0155
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS821 TA429152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist