Individual provider Active NPI

Robin Bennett Morrison, LDO

  • Optician
  • Fort Myers, FL
National Provider Identifier
1629564554
Registry record updated Jul 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
2216 Issued in FL
Practice address
13468 Palm Beach Blvd Ste B
Fort Myers, FL 33905-2168
Phone
(239) 887-6187
Fax
(239) 693-6564
NPI assigned
Jul 3, 2018
Last updated
Jul 3, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X 2216 FL Primary

Addresses

Primary practice location

13468 Palm Beach Blvd Ste B
Fort Myers, FL 33905-2168

Mailing address

2232 Marilyn LN
Fort Myers, FL 33905-4708
Phone (239) 340-8267

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2216FLMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1530576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530576000000",
    "number": "1629564554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 MARILYN LN",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339054708",
            "telephone_number": "239-340-8267",
            "fax_number": "239-693-6564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13468 PALM BEACH BLVD STE B",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339052168",
            "telephone_number": "239-887-6187",
            "fax_number": "239-693-6564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "ROBIN",
        "middle_name": "BENNETT",
        "credential": "LDO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-03",
        "last_updated": "2018-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "2216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.