Provider Demographics
NPI:1225150899
Name:COLLINS, DOROTHY ROBISON (OD)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:ROBISON
Last Name:COLLINS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 WESTBROOK HEIGHTS RD
Mailing Address - Street 2:
Mailing Address - City:WESTBROOK
Mailing Address - State:CT
Mailing Address - Zip Code:06498-1957
Mailing Address - Country:US
Mailing Address - Phone:860-399-6197
Mailing Address - Fax:
Practice Address - Street 1:282 MAIN STREET EXT
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-4467
Practice Address - Country:US
Practice Address - Phone:860-346-2020
Practice Address - Fax:860-346-9232
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2168152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist