Individual provider Active NPI

Robert Floyd Collins, OD

  • Optometrist
  • North Hollywood, CA
National Provider Identifier
1366522492
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OTP4687PLI Issued in CA
Practice address
6765 Lankershim Blvd
North Hollywood, CA 91606-1614
Phone
(818) 982-0076
Fax
(818) 982-0634
NPI assigned
Oct 16, 2006
Last updated
Oct 17, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OTP4687PLI CA Primary

Addresses

Primary practice location

6765 Lankershim Blvd
North Hollywood, CA 91606-1614

Mailing address

6765 Lankershim Blvd
North Hollywood, CA 91606-1614
Phone (818) 982-0076

Other identifiers 1

IdentifierTypeStateIssuer
SD0046870MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050215001123 CA Practitioner - Optometry 1557320272 Receives reassigned benefits from 5 practitioners
Practice locations: NRTH Hollywood, CA; Oxnard, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1964
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

125 E Gonzales Rd
Oxnard, CA 93036-8259
Phone (805) 485-4854

6765 Lankershim Blvd
North Hollywood, CA 91606-1614
Phone (818) 982-0076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTP4687PLICAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert F. Collins Optometrist PastSince Jan 1, 1973 Accepting new patients
Silver Strand Optometry Corp Optometrist PastSince Sep 27, 2016 Accepting new patients
Sabi Israel & Robert F. Collins PTR Optometrist PastSince Nov 21, 2019 Accepting new patients
R F Ccollins & S Goodman PTRS Optometrist Past Accepting new patients
Healthy Eyes Medical Group PastSince Jan 12, 2015 Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Practitioners & affiliated clinicians

Practitioners 5

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.

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1366522492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6765 LANKERSHIM BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916061614",
            "telephone_number": "818-982-0076",
            "fax_number": "818-982-0634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6765 LANKERSHIM BLVD",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916061614",
            "telephone_number": "818-982-0076",
            "fax_number": "818-982-0634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "ROBERT",
        "middle_name": "FLOYD",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OTP4687PLI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0046870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.