Healthcare Provider Details

I. General information

NPI: 1689250060
Provider Name (Legal Business Name): CASON BENTON ROBBINS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2021
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2606 S LAMAR BLVD
OXFORD MS
38655-5243
US

IV. Provider business mailing address

2606 S LAMAR BLVD
OXFORD MS
38655-5243
US

V. Phone/Fax

Practice location:
  • Phone: 662-234-6551
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0120X
TaxonomyCornea and External Diseases Specialist Physician
License Number36772
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: