IndividualActive
Billie Robertson, TECH
NPI 1609752922 · Technician/Technologist · Moore, OK
Provider details
- NPI number
- 1609752922
- Entity type
- Individual
- Primary specialty
- Technician/TechnologistEye and Vision Services Providers
- Credential
- TECH
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
1209 Stoneridge Dr
Moore, OK 73160-6741
Phone: (405) 902-6690
Fax: (405) 902-6690
Approximate (ZIP-level) locationGet directions
Mailing address
1209 Stoneridge Dr
Moore, OK 73160-6741
Registry dates
- Enumerated
- 2025-08-13
- Last updated
- 2025-08-13
- Certified
- 2025-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.