Provider Demographics
NPI:1588667695
Name:SCHNIPPER, ROBERT I (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:I
Last Name:SCHNIPPER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2001 COLLEGE ST
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32204-3703
Mailing Address - Country:US
Mailing Address - Phone:904-355-5555
Mailing Address - Fax:904-355-9966
Practice Address - Street 1:2001 COLLEGE ST
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32204-3703
Practice Address - Country:US
Practice Address - Phone:904-355-5555
Practice Address - Fax:904-355-9966
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-23
Last Update Date:2014-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0019517207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL181072703OtherRR MEDICARE
FL71739OtherBCBS
FL050713000Medicaid
FL71739ZMedicare PIN
FLD58172Medicare UPIN
FL1142310001Medicare NSC