NPIMap

Organization Active NPI

Robeson Family Vision Center Inc

  • Clinic/Center
  • Winona, MN
National Provider Identifier
1407082837
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ROBESON FAMILY VISION CENTER INC
Practice address
1400 Homer Rd
Winona, MN 55987-6044
Phone
(507) 454-4092
Fax
(507) 454-5384
NPI assigned
May 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

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

Authorized official

Name
Dr. Lane C Robeson, O.D.NPI 1891762282
Title
President
Phone
(507) 454-4092

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary
Durable Medical Equipment & Medical Supplies 332B00000X
Eyewear Supplier 332H00000X

Addresses

Primary practice location

1400 Homer Rd
Winona, MN 55987-6044

Mailing address

1400 Homer Rd
Winona, MN 55987-6044
Phone (507) 454-4092

Other names 1

  • Robeson Family Vision Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090914000453 MN Part B Supplier - Clinic/Group Practice 5496801656 Receives reassigned benefits from 3 practitioners
Practice locations: Winona, MN
O20100930069609 MN DME Supplier - Physician - Optometrist 5496801656 Practice locations: Winona, MN

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Robeson Family Vision Center1400 Homer Rd, Winona, MN 55987-6044(507) 454-4092 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since May 1, 2009

National Provider Directory

National Provider Directory

Locations

1400 Homer Rd
Winona, MN 55987
Phone (507) 454-4092

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1243555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278633600000",
    "number": "1407082837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 HOMER RD",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559876044",
            "telephone_number": "507-454-4092",
            "fax_number": "507-454-5384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 HOMER RD",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559876044",
            "telephone_number": "507-454-4092",
            "fax_number": "507-454-5384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBESON FAMILY VISION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-29",
        "last_updated": "2010-07-09",
        "status": "A",
        "authorized_official_last_name": "ROBESON",
        "authorized_official_first_name": "LANE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "507-454-4092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Robeson Family Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winona, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.