Provider Demographics
NPI:1437334125
Name:ROBIN L. SCHUTT, O.D., P.C.
Entity Type:Organization
Organization Name:ROBIN L. SCHUTT, O.D., P.C.
Other - Org Name:NEBRASKA EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:SCHUTT
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:402-463-3937
Mailing Address - Street 1:220 S BURLINGTON AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-5915
Mailing Address - Country:US
Mailing Address - Phone:402-463-3937
Mailing Address - Fax:402-463-3942
Practice Address - Street 1:220 S BURLINGTON AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-5915
Practice Address - Country:US
Practice Address - Phone:402-463-3937
Practice Address - Fax:402-463-3942
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-01
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1184152W00000X, 332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
No332H00000XSuppliersEyewear SupplierGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE37196OtherBLUE CROSS BLUE SHIELD
NE10025584800Medicaid
NE10025584800Medicaid
NE276364Medicare PIN
NE6076640001Medicare NSC
NENA1020Medicare PIN
NE37196OtherBLUE CROSS BLUE SHIELD