Provider Demographics
NPI:1013025329
Name:SKROBOT, JOHN P (OD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:P
Last Name:SKROBOT
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7215 SAWMILL RD
Mailing Address - Street 2:STE. 111
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-5001
Mailing Address - Country:US
Mailing Address - Phone:614-761-1101
Mailing Address - Fax:614-761-1102
Practice Address - Street 1:7215 SAWMILL RD
Practice Address - Street 2:STE. 111
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-5001
Practice Address - Country:US
Practice Address - Phone:614-761-1101
Practice Address - Fax:614-761-1102
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3774152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHSK0586521Medicare ID - Type Unspecified
OHT48434Medicare UPIN