TERESA ROBERTSON (NPI# 1780837914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780837914 |
| Entity Type | Individual |
| Full Name | TERESA ROBERTSON |
| Practice Address |
478 Mcqueen Smith Rd S Prattville AL 36066-5631 |
| Practice Telephone | 3343659911 |
| Mailing Telephone | 3343659911 |
| Enumeration Date | 2008-10-31 |
| Last Update Date | 2008-10-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 009948105 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922389014 | Teresa Robertson | Contractor | 8266 N Converse Ct, Tucson, AZ 85741-1179 | 2011-09-01 |
| 1346470853 | Teresa Jean Robertson | Massage Therapist | 9900 Sw Wilshire, Suite 190-f, Portland, OR 97225 | 2009-07-17 |
| 1437291440 | Teresa Robertson | Counselor | 12360 66th Street North, Largo, FL 33773 | 2007-02-13 |
| 1407966062 | Teresa A Robertson | Midwife | 3011 North Broadway, Suite 23, Boulder, CO 80302 | 2006-08-30 |
| Street Address |
478 MCQUEEN SMITH RD S |
| City | PRATTVILLE |
| State | AL |
| Zip Code | 36066-5631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649696196 | Prattville Christian Family Medicine | Family Medicine | 478 Mcqueen Smith Rd S, Prattville, AL 36066-5631 | 2014-03-07 |
| 1144538679 | Theresa M Chattman | Technician/Technologist | 478 Mcqueen Smith Rd S, Prattville, AL 36066-5631 | 2010-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053856591 | Camellia Hospice of South Alabama, LLC | Hospice Care, Community Based | 1807 Station Dr Ste B, Prattville, AL 36066 | 2016-12-19 |
| 1265805550 | Alabama Dental Professionals, PC | Dentist | 2489 Cobbs Ford Road, Prattville, AL 36066 | 2015-11-09 |
| 1407243645 | Drayer Physical Therapy-alabama, LLC | Physical Therapist | 2703 Legends Parkway, Prattville, AL 36066 | 2015-04-24 |
| 1225396203 | Kristin Taylor | Occupational Therapist | 635 Mcqueen Smith Road, Suite D, Prattville, AL 36066 | 2012-04-27 |
| 1164796959 | Glynwood Park Dental Care | Dentist | 1831 Glynwood Drive, Prattville, AL 36066 | 2012-02-27 |
| 1790068757 | Jason Duane Weaver | Physical Therapist | 1824 Glynwood Drive, Prattville, AL 36066 | 2011-09-26 |
| 1982931499 | Health Star Inc | Chiropractor | 2441 Cobbs Ford Road, Prattville, AL 36066 | 2009-11-05 |
| 1023101698 | Drs. Tatum and Walker, L.L.C. | Dentist | 597 South Memorial Drive, Prattville, AL 36066 | 2006-10-02 |
| 1730290693 | Shalini Goswami | Internal Medicine | 1294 E Main St, Prattville, AL 36066 | 2006-08-31 |
| 1407860380 | Robert Allen Avery | Internal Medicine | 645 Mcqueen Smith Rd N Ste 207, Prattville, AL 36066 | 2006-07-28 |
| Find all providers in zip 36066 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205239654 | Denise M Show | Technician/Technologist | 1842 Highway 31 N, Prattville, AL 36067-6758 | 2014-09-30 |
| 1891251914 | Reyanna Leigh Kirby | Technician/Technologist | 645 Mcqueen Smith Rd N Ste 109, Prattville, AL 36066-7263 | 2019-02-13 |
| 1144538679 | Theresa M Chattman | Technician/Technologist | 478 Mcqueen Smith Rd S, Prattville, AL 36066-5631 | 2010-09-17 |
| 1508955469 | Wal-mart Stores East, Lp | Technician/Technologist | 1903 Cobbs Ford Rd, Prattville, AL 36066-7230 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649823014 | Kelley's Optical | Technician/Technologist | 11821 S Memorial Pkwy, Huntsville, AL 35803-3333 | 2019-07-24 |
| 1992265243 | Kelley Cornelius | Technician/Technologist | 7811 Smoke Rise Rd Se, Huntsville, AL 35802-3915 | 2019-03-22 |
| 1922575448 | National Vision Inc | Technician/Technologist | 1320 Mcfarland Blvd E Ste 560, Tuscaloosa, AL 35404-5899 | 2018-11-02 |
| 1427540582 | National Vision, Inc. | Technician/Technologist | 8141 Highway 72 W Ste I, Madison, AL 35758-9563 | 2018-06-05 |
| 1295259828 | Lavell Edward Brooks Sr. | Technician/Technologist | 234 N Prairie Street, Union Springs, AL 36089 | 2017-07-25 |
| 1770013369 | National Vision, Inc. | Technician/Technologist | Bldg 9214, Fort Rucker, AL 36362 | 2017-06-15 |
| 1891237103 | Stephen A Michael | Technician/Technologist | 1805 N Mckenzie St, Foley, AL 36535-2326 | 2016-11-17 |
| 1740736941 | Allen Tolbert | Technician/Technologist | 304 N Prairie St, Union Springs, AL 36089 | 2016-08-28 |
| 1366802175 | National Vision, Inc. | Technician/Technologist | 2798 John Hawkins Pkwy, Ste 112, Hoover, AL 35244-3109 | 2016-03-07 |
| 1588031413 | Chris Montz | Technician/Technologist | 23050 Mcauliffe Dr, Robertsdale, AL 36567-3122 | 2015-08-26 |
| Find all providers with the same taxonomy | ||||
| City | PRATTVILLE |
| Zip Code | 36066 |
Please comment or provide details below to improve the information on TERESA ROBERTSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.