Affiliated Eye Care LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

1669 Issued in MN

Legal business name

AFFILIATED EYE CARE LLC

Doing business as

Steven B. Robin MD

Practice address

4100 Berkshire LN N Ste 100
Plymouth, MN 55446-3836

Phone

(952) 540-0001

Fax

(952) 540-0002

NPI assigned

Jul 27, 2006

Last updated

Dec 13, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven Robin, MDNPI 1407879158

Title

Owner

Phone

(763) 545-8646

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Steven B. Robin MD Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven B Robin, MD

  • Ophthalmology Physician
  • Plymouth, MN
  • NPI 1407879158
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544659200000",
    "number": "1215941430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 BERKSHIRE LN N STE 100",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554463836",
            "telephone_number": "952-540-0001",
            "fax_number": "952-540-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 BERKSHIRE LN N STE 100",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554463836",
            "telephone_number": "952-540-0001",
            "fax_number": "952-540-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFILIATED EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2018-12-13",
        "status": "A",
        "authorized_official_last_name": "ROBIN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-545-8646",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MN",
            "license": "1669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "454G8AF",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "114866",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "181877",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "473063100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Steven B. Robin MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ophthalmology Physician in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Ophthalmology Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.