Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Robert Dean Douglas

Individual provider Optometrist · NPI 1861516239

Robert Dean Douglas is an Optometrist in Ravenna, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2007

Practice location Address checks out

12412 Stafford St
Ravenna, MI 48451-0307
Phone: (231) 853-6459
Fax: (231) 853-6459
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence MI3937 (MI)

Record details

NPI number1861516239
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 19, 2007
Last updated in NPPESJuly 8, 2007