Provider Demographics
NPI:1346426020
Name:DR. COLIN R ROBINSON, P.A.
Entity Type:Organization
Organization Name:DR. COLIN R ROBINSON, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:COLIN
Authorized Official - Middle Name:R
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:207-892-3216
Mailing Address - Street 1:584 ROOSEVELT TRL
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04062-7302
Mailing Address - Country:US
Mailing Address - Phone:207-892-3216
Mailing Address - Fax:207-892-0082
Practice Address - Street 1:584 ROOSEVELT TRL
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:ME
Practice Address - Zip Code:04062-7302
Practice Address - Country:US
Practice Address - Phone:207-892-3216
Practice Address - Fax:207-892-0082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-13
Last Update Date:2008-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME583152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME130290000Medicaid
ME4100459431Medicare NSC
MEROMM6520Medicare PIN
ME0539420001Medicare NSC
ME130290000Medicaid