Active NPI
Michael A. Robin, O.D.
- Optometrist
- Ellicott City, MD
National Provider Identifier
1447396700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TA 0893
- Practice address
- 10176 Baltimore National Pike
Suite 113
Ellicott City, MD 21042 - Phone
- (410) 461-7012
- Fax
- (410) 461-7009
- NPI assigned
- Jan 30, 2007
- Last updated
- Feb 6, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TA 0893 | MD | Primary |
Addresses
Primary practice location
10176 Baltimore National Pike
Suite 113
Ellicott City, MD 21042
Mailing address
10176 Baltimore National Pike
Suite 113
Ellicott City, MD 21042
Phone (410) 461-7012
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 755 | Other | BALTIMORE CITY VISION CAR | |
| 209Q | Other | MEDICARE | |
| 111333 | Other | EYEMED |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
916 Washington Ave
PO Box 612
Chestertown, MD 21620-0612
Phone (410) 778-0094
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA 0893 | MD | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dependable Eye Care Inc | Optometrist | Current | Accepting new patients |
Interoperability endpoints
- mrobin@462.securemail.prognocis.com
Organizations & group practices 2
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.
-
- Optometrist
- Chestertown, MD
- NPI 1720004203
-
- Optometrist
- Ellicott City, MD
- NPI 1376897157
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360108800000",
"number": "1447396700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10176 BALTIMORE NATIONAL PIKE",
"address_2": "SUITE 113",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "21042",
"telephone_number": "410-461-7012",
"fax_number": "410-461-7009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10176 BALTIMORE NATIONAL PIKE",
"address_2": "SUITE 113",
"city": "ELLICOTT CITY",
"state": "MD",
"postal_code": "21042",
"telephone_number": "410-461-7012",
"fax_number": "410-461-7009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBIN",
"first_name": "MICHAEL",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-30",
"last_updated": "2013-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MD",
"license": "TA 0893",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BALTIMORE CITY VISION CAR",
"identifier": "755",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "209Q",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "111333",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ellicott City, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.