Active NPI
Michael E Robinson, O.D.
- Optometrist
- Crystal Lake, IL
National Provider Identifier
1295887602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046007852
- Practice address
- 457 Coventry LN
Suite 118
Crystal Lake, IL 60014-7571 - Phone
- (815) 459-5433
- NPI assigned
- Jan 17, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 14
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046007852 | IL | Primary |
| Optometrist | 152W00000X | 4901003028 | MI | |
| Corneal and Contact Management Optometrist | 152WC0802X | 046007852 | IL | |
| Corneal and Contact Management Optometrist | 152WC0802X | 4901003028 | MI | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | 046007852 | IL | |
| Low Vision Rehabilitation Optometrist | 152WL0500X | 4901003028 | MI | |
| Pediatric Optometrist | 152WP0200X | 046007852 | IL | |
| Pediatric Optometrist | 152WP0200X | 4901003028 | MI | |
| Sports Vision Optometrist | 152WS0006X | 046007852 | IL | |
| Sports Vision Optometrist | 152WS0006X | 4901003028 | MI | |
| Vision Therapy Optometrist | 152WV0400X | 046007852 | IL | |
| Vision Therapy Optometrist | 152WV0400X | 4901003028 | MI | |
| Occupational Vision Optometrist | 152WX0102X | 046007852 | IL | |
| Occupational Vision Optometrist | 152WX0102X | 4901003028 | MI |
Addresses
Primary practice location
457 Coventry LN
Suite 118
Crystal Lake, IL 60014-7571
Mailing address
457 Coventry LN
Suite 118
Crystal Lake, IL 60014-7571
Phone (815) 459-5433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901003028 | MI | MD | Low Vision Rehabilitation Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christina J. Levi O D P C | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Edwardsville, IL
- NPI 1033261904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1241568000000",
"number": "1295887602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "457 COVENTRY LN",
"address_2": "SUITE 118",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600147571",
"telephone_number": "815-459-5433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "457 COVENTRY LN",
"address_2": "SUITE 118",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600147571",
"telephone_number": "815-459-5433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "MICHAEL",
"middle_name": "E",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-17",
"last_updated": "2009-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046007852",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901003028",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "IL",
"license": "046007852",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "MI",
"license": "4901003028",
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "IL",
"license": "046007852",
"primary": false
},
{
"code": "152WL0500X",
"taxonomy_group": "",
"desc": "Optometrist, Low Vision Rehabilitation",
"state": "MI",
"license": "4901003028",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "IL",
"license": "046007852",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "MI",
"license": "4901003028",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "IL",
"license": "046007852",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "MI",
"license": "4901003028",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "IL",
"license": "046007852",
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": "MI",
"license": "4901003028",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "IL",
"license": "046007852",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "MI",
"license": "4901003028",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crystal Lake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.