MEDICARE: CHARLES H ROBINSON JR. MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207WX0107X	Retina Specialist (Ophthalmology) Physician	21108	NC
2	207W00000X	Ophthalmology Physician	21108	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	202351	OTHER	NC	PTAN
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538130042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHARLES H ROBINSON JR. MD

Provider Business Mailing Address
First Line	:	2709 BLUE RIDGE RD
Second Line	:	SUITE 100
City	:	RALEIGH
State	:	NC
Zip	:	27607-6462
Country	:	US
Telephone Number	:	919-782-5400
Fax Number	:	919-782-1680

Provider Business Practice Location Address
First Line	:	2709 BLUE RIDGE RD
Second Line	:	SUITE 100
City	:	RALEIGH
State	:	NC
Zip	:	27607-6462
Country	:	US
Telephone Number	:	919-782-5400
Fax Number	:	919-782-1680

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2006
Last Update Date	:	03/29/2021

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Directions to “ CHARLES H ROBINSON JR. MD” Practice Location

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