Provider Demographics
NPI:1467668822
Name:RICK A ROBINSON OD PA
Entity Type:Organization
Organization Name:RICK A ROBINSON OD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:239-596-2722
Mailing Address - Street 1:2710 WILSON BLVD NORTH
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34120
Mailing Address - Country:US
Mailing Address - Phone:239-682-0871
Mailing Address - Fax:239-254-0073
Practice Address - Street 1:8024 ALICO RD STE A4
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33912-2555
Practice Address - Country:US
Practice Address - Phone:239-596-2722
Practice Address - Fax:239-432-2662
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RICK A ROBINSON OD PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-05-15
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC3382152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
E5345Medicare ID - Type Unspecified
U84501Medicare UPIN