Healthcare Provider Details

I. General information

NPI: 1851335608
Provider Name (Legal Business Name): ALLAN M ROBBINS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 03/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1678 EMPIRE BLVD
WEBSTER NY
14580-1895
US

IV. Provider business mailing address

364 SENECA RD
HORNELL NY
14843-1039
US

V. Phone/Fax

Practice location:
  • Phone: 585-787-2020
  • Fax: 585-787-2066
Mailing address:
  • Phone: 607-324-5000
  • Fax: 607-324-1271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number124728-1
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: ALLAN M ROBBINS
Title or Position: OWNER/MD
Credential: M.D.
Phone: 585-787-0500