Individual provider Active NPI

Jennie Lynn Robinson, O.D.

  • Optometrist
  • Vero Beach, FL
National Provider Identifier
1619918240
Registry record updated Aug 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 3827 Issued in FL
Practice address
333 17TH St
Ste G
Vero Beach, FL 32960-5672
Phone
(772) 569-6600
Fax
(772) 569-5341
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 3827 FL Primary

Addresses

Primary practice location

333 17TH St
Ste G
Vero Beach, FL 32960-5672

Mailing address

333 17TH St
Ste G
Vero Beach, FL 32960-5672
Phone (772) 564-9512

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
I20040209000327 FL Practitioner - Optometry 2062306475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Treasure Coast Eye Associates PAGroup PAC ID 1052400231, 2 clinicians

Practice addresses (Care Compare)

333 17TH St
Suite G
Vero Beach, FL 32960-5672
Phone (772) 978-0845

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 3827FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Treasure Coast Eye Associates PA Optometrist CurrentSince Mar 2, 2015 Accepting new patients

Locations

333 17th St
Ste G
Vero Beach, FL 32960
Phone (772) 569-2214

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504137600000",
    "number": "1619918240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 17TH ST",
            "address_2": "STE G",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605672",
            "telephone_number": "772-564-9512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 17TH ST",
            "address_2": "STE G",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605672",
            "telephone_number": "772-569-6600",
            "fax_number": "772-569-5341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBINSON",
        "first_name": "JENNIE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2017-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.