MEDICARE: DR. ANDREW F ROBBINS 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	207W00000X	Ophthalmology Physician	35-03-7282	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00052055	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	000000075360	OTHER	BCBS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1659308153
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW F ROBBINS JR. MD

Provider Business Mailing Address
First Line	:	1945 CEI DRIVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45242-3311
Country	:	US
Telephone Number	:	513-984-5133
Fax Number	:	513-569-3741

Provider Business Practice Location Address
First Line	:	4760 RED BANK EXPY
Second Line	:	SUITE 108
City	:	CINCINNATI
State	:	OH
Zip	:	45227-1548
Country	:	US
Telephone Number	:	513-531-2020
Fax Number	:	513-531-0715

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

Provider Enumeration Date	:	06/28/2006
Last Update Date	:	12/18/2007

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