Provider Demographics
NPI:1710038617
Name:ROBERT F TOBIN AND ASSOCIATES INC
Entity Type:Organization
Organization Name:ROBERT F TOBIN AND ASSOCIATES INC
Other - Org Name:TOBIN EYE INSTITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:PROF
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:F
Authorized Official - Last Name:TOBIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:816-279-1363
Mailing Address - Street 1:1823 CHASE ST
Mailing Address - Street 2:
Mailing Address - City:FALLS CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68355-2020
Mailing Address - Country:US
Mailing Address - Phone:402-245-2616
Mailing Address - Fax:402-245-2114
Practice Address - Street 1:1823 CHASE ST
Practice Address - Street 2:
Practice Address - City:FALLS CITY
Practice Address - State:NE
Practice Address - Zip Code:68355-2020
Practice Address - Country:US
Practice Address - Phone:402-245-2616
Practice Address - Fax:402-245-2114
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2012-01-18
Deactivation Date:2007-03-20
Deactivation Code:
Reactivation Date:2007-09-20
Provider Licenses
StateLicense IDTaxonomies
NE12232207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NECD3325OtherRR MEDICARE
NE10024950600Medicaid
NE1161580005OtherCIGNA DMERC
IA0430314Medicaid
NE1161580001OtherCIGNA DMERC
NECU0525OtherRR MEDICARE
NE10024950900Medicaid
NE098395Medicare PIN
NE10024950900Medicaid