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NPI Code Detail

MEDICARE: ROBERT FLOYD COLLINS OD

MEDICARE: ROBERT FLOYD COLLINS OD
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
1152W00000XOptometristOTP4687PLICA

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 : 1366522492
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT FLOYD COLLINS OD
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 :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2006
Last Update Date : 10/17/2019

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