Provider Demographics
NPI:1851387674
Name:ROBBINS, EDWARD LLOYD (OD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:LLOYD
Last Name:ROBBINS
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 1:5 S ISLAND AVE
Mailing Address - Street 2:
Mailing Address - City:RAMSEY
Mailing Address - State:NJ
Mailing Address - Zip Code:07446-2535
Mailing Address - Country:US
Mailing Address - Phone:201-327-5110
Mailing Address - Fax:201-327-5149
Practice Address - Street 1:5 S ISLAND AVE
Practice Address - Street 2:
Practice Address - City:RAMSEY
Practice Address - State:NJ
Practice Address - Zip Code:07446-2535
Practice Address - Country:US
Practice Address - Phone:201-327-5110
Practice Address - Fax:201-327-5149
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-27
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ2290152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ521165Medicare PIN
U26808Medicare UPIN
000521165Medicare ID - Type Unspecified