Jerry Lee Robben

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4572 Issued in FL

Practice address

206 Ashourian Ave Ste 215
St Augustine, FL 32092-5107

Phone

(904) 296-0098

NPI assigned

Sep 23, 2010

Last updated

Oct 1, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Optometry

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Associates of Manatee, LLPGroup PAC ID 4688664535, 60 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.23 of 100Reported as group

Quality

97.49

Improvement activities

40

Cost

67.45

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jerry.robben.p1@direct.theeyeassociates.nextgenshare.com

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.

• Eye Associates of Manatee, LLP

  • Ophthalmology Physician
  • Bradenton, FL
  • NPI 1366483851
  Medicare reassignment Care Compare group NPD
• Frank W Bowden III MD Facs PA

  • Ophthalmology Physician
  • Jacksonville, FL
  • NPI 1841287760
  Medicare reassignment
• Eye Associates of Manatee LLP

  dba Eye Centers Of Florida

  • Eyewear Supplier
  • Fort Myers, FL
  • NPI 1659091759
  NPD

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

{
    "created_epoch": "1285200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1528376589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352468575",
            "telephone_number": "864-359-1308",
            "fax_number": "239-496-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 ASHOURIAN AVE STE 215",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320925107",
            "telephone_number": "904-296-0098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7205 Bentley Rd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322567565",
            "country_code": "US",
            "telephone_number": "904-296-0098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1909 Beach Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Jacksonville Beach",
            "state": "FL",
            "postal_code": "322502643",
            "country_code": "US",
            "telephone_number": "239-466-2020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12341 Yellow Bluff Rd",
            "address_2": "SUITE 4",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322262025",
            "country_code": "US",
            "telephone_number": "904-696-9486",
            "fax_number": "904-696-3422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Shircliff Way Ste 134",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322044785",
            "country_code": "US",
            "telephone_number": "239-466-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBBEN",
        "first_name": "JERRY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-23",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ritschl, APRN
• Lakisha S Rivers
• Riverside Spine & Pain Physicians, LLC
• Rivertown Chiropractic, LLC
• Michelle Marie Robalino-Sanghavi, M.D.
• Robert B Dehgan M D P a
• Robert C Kelsey MD PA
• Robert W Olds MD PA
• Kevin D Roberts
• Lauren Sophia Roberts

• Optometrist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2026; 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.

Verify at the official NPI Registry.