Individual provider Active NPI

Charles H Robinson Jr., MD

  • Ophthalmology Physician
  • Raleigh, NC
National Provider Identifier
1538130042
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
21108 Issued in NC
Practice address
2709 Blue Ridge Rd
Suite 100
Raleigh, NC 27607-6462
Phone
(919) 782-5400
Fax
(919) 782-1680
NPI assigned
Feb 1, 2006
Last updated
Mar 29, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 21108 NC
Ophthalmology Physician 207W00000X 21108 NC Primary

Addresses

Primary practice location

2709 Blue Ridge Rd
Suite 100
Raleigh, NC 27607-6462

Mailing address

2709 Blue Ridge Rd
Suite 100
Raleigh, NC 27607-6462
Phone (919) 782-5400

Other identifiers 2

IdentifierTypeStateIssuer
202351OtherNCPTAN
8972553MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address chrobinson@raleighophthalmology.imwdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080630000457 NC Practitioner - Ophthalmology 2961475165 Practice locations: Raleigh, NC

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21108NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Ophthalmic Associates Ophthalmology Current Accepting new patients
Paul S. Riske, MD, PC Ophthalmology PastSince May 3, 2004 Accepting new patients

Locations

10880 Durant Rd
Ste 112
Raleigh, NC 27614
Phone (919) 782-5400

2709 Blue Ridge Rd
Ste 100
Raleigh, NC 27607
Phone (919) 782-5400

Organizations & group practices 4

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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1538130042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2709 BLUE RIDGE RD",
            "address_2": "SUITE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076462",
            "telephone_number": "919-782-5400",
            "fax_number": "919-782-1680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 BLUE RIDGE RD",
            "address_2": "SUITE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076462",
            "telephone_number": "919-782-5400",
            "fax_number": "919-782-1680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "CHARLES",
        "middle_name": "H",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "NC",
            "license": "21108",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "21108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "202351",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8972553",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "chrobinson@raleighophthalmology.imwdirect.com",
            "affiliation": "N",
            "address_1": "2709 Blue Ridge Rd",
            "address_2": "Suite 100",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276076462",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.