Provider Demographics
NPI:1902047251
Name:ROBERT, VALERIE LAYNE (OPTICIAN)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:LAYNE
Last Name:ROBERT
Suffix:
Gender:F
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:83 W BROAD ST
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-5763
Mailing Address - Country:US
Mailing Address - Phone:610-419-6626
Mailing Address - Fax:610-419-6664
Practice Address - Street 1:83 W BROAD ST
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-5763
Practice Address - Country:US
Practice Address - Phone:610-419-6626
Practice Address - Fax:610-419-6664
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-17
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0361003156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician