MEDICARE: RICK A ROBINSON O.D.

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	OPC3382	FL

General Provider Information

NPI Number	:	1659526416
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RICK A ROBINSON O.D.

Provider Business Mailing Address
First Line	:	715 17TH ST
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-6219
Country	:	US
Telephone Number	:	772-569-4822
Fax Number	:

Provider Business Practice Location Address
First Line	:	715 17TH ST
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-6219
Country	:	US
Telephone Number	:	772-569-4822
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2008
Last Update Date	:	08/25/2020

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