Individual provider Active NPI

Marni Robins, O.D

  • Optometrist
  • Philadelphia, PA
National Provider Identifier
1487206611
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0603000456 Issued in VA
Practice address
1200 W Godfrey Ave
Philadelphia, PA 19141-3323
Phone
(215) 276-6000
Fax
(215) 276-1329
NPI assigned
Jul 9, 2019
Last updated
Aug 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0603000456 VA Primary

Addresses

Primary practice location

1200 W Godfrey Ave
Philadelphia, PA 19141-3323

Mailing address

1322 Jamestown Rd
Williamsburg, VA 23185-3321
Phone (757) 229-8660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200819000579 VA Practitioner - Optometry 9931436151 Reassigns benefits to 1 organization
I20240124001851 MD Practitioner - Optometry 9931436151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

419 W Redwood St
Suite 420
Baltimore, MD 21201-7002
Phone (667) 214-1111

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0603000456VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland Eye Associates, P.a. CurrentSince Apr 1, 2024 Accepting new patients
University of Maryland Eye Associates, P.a. Single Specialty CurrentSince Apr 1, 2024 Accepting new patients
Eastern Eye Associates, Inc. Optometrists Optometrist CurrentSince Aug 1, 2020 Accepting new patients

Locations

419 W Redwood St
Ste 420
Baltimore, MD 21201
Phone (410) 328-6533

3449 George Washington Memorial Hwy
Hayes, VA 23072
Phone (804) 642-2290

1322 Jamestown Rd
Williamsburg, VA 23185

5251 John Tyler Hwy
Ste 7
Williamsburg, VA 23185
Phone (757) 229-8660

Interoperability endpoints

  • Direct secure messaging: mrobins1097836@direct.umm.edu

Organizations & group practices 3

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": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1487206611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 JAMESTOWN RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853321",
            "telephone_number": "757-229-8660",
            "fax_number": "757-258-8845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 W GODFREY AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191413323",
            "telephone_number": "215-276-6000",
            "fax_number": "215-276-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINS",
        "first_name": "MARNI",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0603000456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.