Provider Demographics
NPI:1700873692
Name:ROBINSON, ROBIE HAROLD (OD,)
Entity Type:Individual
Prefix:DR
First Name:ROBIE
Middle Name:HAROLD
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 1:6721 LAKE HARBOUR DR
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23112-2083
Mailing Address - Country:US
Mailing Address - Phone:804-739-8400
Mailing Address - Fax:804-739-5579
Practice Address - Street 1:6721 LAKE HARBOUR DR
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23112-2083
Practice Address - Country:US
Practice Address - Phone:804-739-8400
Practice Address - Fax:804-739-5579
Is Sole Proprietor?:No
Enumeration Date:2005-10-05
Last Update Date:2011-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0601001630152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAU73050Medicare UPIN
VA00V465R43Medicare ID - Type UnspecifiedOPTOMETRIST
VA5154560001Medicare NSC
VA00V466R43Medicare ID - Type UnspecifiedOPTOMETRIST