Individual provider Active NPI

Collin Robillard, OD

  • Optometrist
  • Turlock, CA
National Provider Identifier
1568771640
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
14659 Issued in CA
Practice address
2020 Colorado Ave
Turlock, CA 95382-2010
Phone
(209) 667-6211
NPI assigned
Oct 6, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 14659 CA Primary

Addresses

Primary practice location

2020 Colorado Ave
Turlock, CA 95382-2010

Mailing address

2020 Colorado Ave
Turlock, CA 95382-2010
Phone (209) 667-6211

Other practice location 1

1199 Delbon Ave Ste 4
Turlock, CA 95382-2006
Phone (209) 667-6211

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20130826000828 CA Practitioner - Optometry 5395988158 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Turlock Eyecare Optometric CorporationGroup PAC ID 4486620408, 3 clinicians

Practice addresses (Care Compare)

1199 Delbon Ave
Suite 4
Turlock, CA 95382-2006
Phone (209) 667-6211

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Turlock Eyecare Optometric Corporation Optometrist CurrentSince Jul 1, 2013 Accepting new patients

Locations

2020 Colorado Ave
Ste A
Turlock, CA 95382
Phone (209) 667-6211

1199 Delbon Ave
Ste 4
Turlock, CA 95382
Phone (209) 667-6211

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1568771640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 COLORADO AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822010",
            "telephone_number": "209-667-6211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 COLORADO AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822010",
            "telephone_number": "209-667-6211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1199 Delbon Ave Ste 4",
            "address_purpose": "LOCATION",
            "city": "Turlock",
            "state": "CA",
            "postal_code": "953822006",
            "country_code": "US",
            "telephone_number": "209-667-6211",
            "fax_number": "209-667-2574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBILLARD",
        "first_name": "COLLIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-06",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "14659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turlock, CA

Sources for this page

Verify at the official NPI Registry.