Provider Demographics
NPI:1770548109
Name:ROBSON, CHERYL K (OD)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:K
Last Name:ROBSON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:K
Other - Last Name:KANE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:905 CEDAR CREEK GRADE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2705
Mailing Address - Country:US
Mailing Address - Phone:540-665-0541
Mailing Address - Fax:540-665-8286
Practice Address - Street 1:905 CEDAR CREEK GRADE
Practice Address - Street 2:SUITE 100
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2705
Practice Address - Country:US
Practice Address - Phone:540-665-0541
Practice Address - Fax:540-665-8286
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-19
Last Update Date:2015-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618000117152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA6191460001OtherMEDICARE DME
T21377Medicare UPIN
VASC0001052Medicare PIN
VA6191460001OtherMEDICARE DME