Organization Active NPI

Robinson Center for Neuro-Visual Rehabilitation

  • Low Vision Rehabilitation Optometrist
  • Windham, ME
National Provider Identifier
1073904868
Registry record updated Feb 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X
License
583 Issued in ME
Legal business name
ROBINSON CENTER FOR NEURO-VISUAL REHABILITATION
Practice address
584 Roosevelt TRL
Suite B
Windham, ME 04062-7302
Phone
(207) 892-3216
NPI assigned
Feb 15, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Colin Richard Robinson, O.D.
Title
President
Phone
(207) 892-0512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Low Vision Rehabilitation OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WL0500X 583 ME Primary

Addresses

Primary practice location

584 Roosevelt TRL
Suite B
Windham, ME 04062-7302

Mailing address

584 Roosevelt TRL
Suite B
Windham, ME 04062-7302
Phone (207) 892-3216

Other identifiers 1

IdentifierTypeStateIssuer
583OtherMEOPTOMETRY PROFESSIONAL LICENSE

National Provider Directory

National Provider Directory

Locations

584 Roosevelt Trl
Ste B
Windham, ME 04062
Phone (207) 892-3216

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1423958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423958400000",
    "number": "1073904868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "584 ROOSEVELT TRL",
            "address_2": "SUITE B",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040627302",
            "telephone_number": "207-892-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "584 ROOSEVELT TRL",
            "address_2": "SUITE B",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040627302",
            "telephone_number": "207-892-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBINSON CENTER FOR NEURO-VISUAL REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-15",
        "last_updated": "2015-02-15",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "COLIN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-892-0512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "ME",
            "license": "583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY PROFESSIONAL LICENSE",
            "identifier": "583",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Windham, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.