Provider Demographics
NPI:1700952280
Name:ROBERT I SCHNIPPER M.D.
Entity Type:Organization
Organization Name:ROBERT I SCHNIPPER M.D.
Other - Org Name:JACKSONVILLE EYE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NONE
Authorized Official - Prefix:MS
Authorized Official - First Name:NONE
Authorized Official - Middle Name:
Authorized Official - Last Name:NONE
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:000-000-0000
Mailing Address - Street 1:3 ATRIUM DR STE 100
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12205-1417
Mailing Address - Country:US
Mailing Address - Phone:518-512-4151
Mailing Address - Fax:904-355-9966
Practice Address - Street 1:2001 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32204-3703
Practice Address - Country:US
Practice Address - Phone:904-355-5555
Practice Address - Fax:904-355-9966
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ROBERT I SCHNIPPER M.D.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-28
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical SpecialtyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL079134200Medicaid
FL28563OtherBCBS IND NO
FL621015500OtherMCAID IND
FLCK0877OtherRR MEDICARE
FLU3769ZOtherMCARE IND NUMBER
FL1142310001OtherMCARE DMERC
FLP00272233OtherRRMCARE
FLP00272233OtherRRMCARE