Provider Demographics
NPI:1467738377
Name:DR. DON ROBBINS INC.
Entity Type:Organization
Organization Name:DR. DON ROBBINS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:ROBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:706-865-5329
Mailing Address - Street 1:PO BOX 601
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:GA
Mailing Address - Zip Code:30528-0011
Mailing Address - Country:US
Mailing Address - Phone:706-865-5329
Mailing Address - Fax:706-219-2124
Practice Address - Street 1:514 WEST KYTLE ST.
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:GA
Practice Address - Zip Code:30528
Practice Address - Country:US
Practice Address - Phone:706-865-5329
Practice Address - Fax:706-219-2124
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DR. DON ROBBINS INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-10-25
Last Update Date:2011-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOPT001058152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000357145AMedicaid
GAU23593Medicare UPIN
GAPC-ACEMedicare PIN