Provider Demographics
NPI:1538128343
Name:ROBINSON, DON L (OD)
Entity Type:Individual
Prefix:MR
First Name:DON
Middle Name:L
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 GATEWAY BLVD
Mailing Address - Street 2:SUITE 695
Mailing Address - City:SOUTH SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94080-7006
Mailing Address - Country:US
Mailing Address - Phone:650-871-9200
Mailing Address - Fax:650-871-6026
Practice Address - Street 1:601 GATEWAY BLVD
Practice Address - Street 2:SUITE 695
Practice Address - City:SOUTH SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94080-7006
Practice Address - Country:US
Practice Address - Phone:650-871-9200
Practice Address - Fax:650-871-6026
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOPT 5930 TPA152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD0059300Medicare PIN