MEDICARE: ROBINSON FAMILY OPTICAL

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	152W00000X	Optometrist

General Provider Information

NPI Number	:	1245938224
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBINSON FAMILY OPTICAL

Provider Business Mailing Address
First Line	:	2152 58TH AVE
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32966-4647
Country	:	US
Telephone Number	:	772-900-2020
Fax Number	:	772-205-3040

Provider Business Practice Location Address
First Line	:	2152 58TH AVE
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32966-4647
Country	:	US
Telephone Number	:	772-900-2020
Fax Number	:	772-205-3040

Authorized Official
Title or Position	:	OWNER
Name	:	RICK A ROBINSON
Credential	:	OD
Telephone Number	:	772-900-2020

Provider Enumeration Date	:	02/20/2023
Last Update Date	:	02/20/2023

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Directions to “ROBINSON FAMILY OPTICAL ” Practice Location

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