Provider Demographics
NPI:1902080138
Name:DR. DON ROBBINS INC
Entity type:Organization
Organization Name:DR. DON ROBBINS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR./ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:L
Authorized Official - Last Name:ROBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:706-865-5329
Mailing Address - Street 1:PO BOX 601
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:GA
Mailing Address - Zip Code:30528-0011
Mailing Address - Country:US
Mailing Address - Phone:706-865-5329
Mailing Address - Fax:706-219-2124
Practice Address - Street 1:514 W KYTLE ST.
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:GA
Practice Address - Zip Code:30528
Practice Address - Country:US
Practice Address - Phone:706-865-5329
Practice Address - Fax:706-219-2124
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-24
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000357145AMedicaid
GA255902486AMedicare PIN
GAU23593Medicare UPIN
GA0388300001Medicare NSC