Provider Demographics
NPI:1639148455
Name:ROBERT F TOBIN & ASSOCIATES, INC
Entity Type:Organization
Organization Name:ROBERT F TOBIN & ASSOCIATES, INC
Other - Org Name:TOBIN EYE INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:F
Authorized Official - Last Name:TOBIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-279-1363
Mailing Address - Street 1:1407 VILLAGE DR
Mailing Address - Street 2:
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-2459
Mailing Address - Country:US
Mailing Address - Phone:816-279-1363
Mailing Address - Fax:816-233-8936
Practice Address - Street 1:1407 VILLAGE DRIVE
Practice Address - Street 2:
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-2459
Practice Address - Country:US
Practice Address - Phone:816-279-1363
Practice Address - Fax:816-233-8936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-15
Last Update Date:2012-01-18
Deactivation Date:2007-03-20
Deactivation Code:
Reactivation Date:2007-09-20
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0430314Medicaid
MO505278507Medicaid
MOCH0958OtherRR MEDICARE
MO505278507Medicaid
MOB770000Medicare PIN