Robin Mevissen, OD Valid NPI

Individual provider · Optometrist · Poolesville, MD

NPI

1164500864

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

TA1222 (MD)

Sex

Female

Sole proprietor

Yes

Enumerated

2006-11-01

Last updated

2011-07-26