MEDICARE: MEDICAL EYE ASSOCIATES OF ORLANDO PA

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	ME78631	FL

General Provider Information

NPI Number	:	1093067548
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL EYE ASSOCIATES OF ORLANDO PA

Provider Business Mailing Address
First Line	:	7840 MONTGOMERY RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45236-4301
Country	:	US
Telephone Number	:	513-354-5808
Fax Number	:	513-354-5774

Provider Business Practice Location Address
First Line	:	155 CRANES ROOST BLVD
Second Line	:	SUITE 1060
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32701-3468
Country	:	US
Telephone Number	:	407-262-0028
Fax Number	:	407-478-4805

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	DR. JEFFREY B ROBIN
Credential	:	M.D.
Telephone Number	:	407-587-5137

Provider Enumeration Date	:	10/09/2012
Last Update Date	:	10/09/2012

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