Individual provider Active NPI

Marc Robinson, OD

  • Optometrist
  • Gainesville, FL
National Provider Identifier
1619324308
Registry record updated Oct 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5328 Issued in FL
Practice address
2677 SW 87TH Dr
Gainesville, FL 32608
Phone
(352) 448-3932
NPI assigned
May 23, 2016
Last updated
Oct 18, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3411-35 WI
Optometrist 152W00000X OPC5328 FL Primary

Addresses

Primary practice location

2677 SW 87TH Dr
Gainesville, FL 32608

Mailing address

2677 SW 87TH Dr
Gainesville, FL 32608-9383
Phone (352) 448-3932

Other practice location 1

4635 NW 53rd Ave
Gainesville, FL 32653-3418
Phone (352) 333-9971

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180423000608 FL Practitioner - Optometry 8022371293 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gainesville Vision LLCGroup PAC ID 3274874995, 2 clinicians

Practice addresses (Care Compare)

2677 SW 87TH Dr
Gainesville, FL 32608-9383
Phone (352) 448-3932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5328FLMDOptometrist
3411-35WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Jun 13, 2018 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Jun 13, 2018 Accepting new patients
Dr. Ted Brink and Associates PA Optometrist CurrentSince Feb 1, 2018 Accepting new patients
Starling Eye Group, P.a. Optometrist CurrentSince Apr 16, 2018 Accepting new patients
Dr.Ted Brink & Associates Optometrist CurrentSince Feb 1, 2018 Accepting new patients
Gainesville Vision LLC Optometrist CurrentSince May 15, 2019 Accepting new patients

Locations

4635 NW 53rd Ave
Ste 202
Gainesville, FL 32653
Phone (352) 333-9971

10300 Southside Blvd
Ste 238
Jacksonville, FL 32256
Phone (904) 363-8282

5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873

Networks

  • Freedom Health HMO Network

Organizations & group practices 6

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": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1619324308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2677 SW 87TH DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326089383",
            "telephone_number": "352-448-3932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2677 SW 87TH DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "32608",
            "telephone_number": "352-448-3932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4635 NW 53rd Ave",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326533418",
            "country_code": "US",
            "telephone_number": "352-333-9971",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "MARC",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-23",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3411-35",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.