Provider Demographics
NPI:1750426318
Name:DRS OBRIEN AND ROBINSON LLC
Entity type:Organization
Organization Name:DRS OBRIEN AND ROBINSON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:H
Authorized Official - Last Name:KREIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-786-4277
Mailing Address - Street 1:21 S CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:QUARRYVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17566-1213
Mailing Address - Country:US
Mailing Address - Phone:717-786-4277
Mailing Address - Fax:717-786-7624
Practice Address - Street 1:21 S CHURCH ST
Practice Address - Street 2:
Practice Address - City:QUARRYVILLE
Practice Address - State:PA
Practice Address - Zip Code:17566-1213
Practice Address - Country:US
Practice Address - Phone:717-786-4277
Practice Address - Fax:717-786-7624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2018-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000950152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA22-04638OtherEVERCARE
PA732537OtherROBINSON BC BS
PA1729842OtherBC BS GROUP NUMBER
PA410048000OtherPALMETTO, GBA
PA683637OtherOBRIEN BC BS
PA22-04639OtherEVERCARE
PA3051347OtherAETNA US HEALTHCARE
PA410049796OtherPALMETTO, GBA
PA5011840001Medicare NSC
PA1729842OtherBC BS GROUP NUMBER
PAU77285Medicare UPIN
PA031975Medicare PIN
PA410048000OtherPALMETTO, GBA