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NPI Code Detail

MEDICARE: ROBERT F. COLLINS

MEDICARE: ROBERT F. COLLINS
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
1152W00000XOptometrist4687TCA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205272820
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROBERT F. COLLINS
Provider Business Mailing Address
First Line : 6765 LANKERSHIM BLVD
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91606-1614
Country : US
Telephone Number : 818-982-0076
Fax Number : 818-982-0634
Provider Business Practice Location Address
First Line : 6765 LANKERSHIM BLVD
Second Line :
City : NORTH HOLLYWOOD
State : CA
Zip : 91606-1614
Country : US
Telephone Number : 818-982-0076
Fax Number : 818-982-0634
Authorized Official
Title or Position : SECRETARY
Name : ANGELA ROBLES
Credential :
Telephone Number : 818-982-0076
Provider Enumeration Date : 05/22/2013
Last Update Date : 05/22/2013

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