Robin Lively Marbourg, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-712-TA-055 Issued in AL

Practice address

308 6TH St S
Suite 105
Oneonta, AL 35121-1846

Phone

(205) 625-5520

Fax

(205) 625-5522

NPI assigned

Jul 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 8

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hoover Vision Center PCGroup PAC ID 0244236784, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: direct@drsmarbourgassociatesoneontaal.compulinkdirect.com

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.

• Hoover Vision Center, P.C.

  • Optometrist
  • Hoover, AL
  • NPI 1073542965
  Medicare reassignment Care Compare group NPD Authorized official
• Forestdale Eye Clinic, Inc.

  • Optometrist
  • Hoover, AL
  • NPI 1679627087
  NPD (past) Authorized official

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210377600000",
    "number": "1922037654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5170 TRACE CROSSINGS DR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352443954",
            "telephone_number": "205-985-9484",
            "fax_number": "205-985-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 6TH ST S",
            "address_2": "SUITE 105",
            "city": "ONEONTA",
            "state": "AL",
            "postal_code": "351211846",
            "telephone_number": "205-625-5520",
            "fax_number": "205-625-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARBOURG",
        "first_name": "ROBIN",
        "middle_name": "LIVELY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2008-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-712-TA-055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMWA",
            "identifier": "76603",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIVA",
            "identifier": "U18675",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009938093",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000076603",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH SPRINGS",
            "identifier": "U18675",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "510-76603",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "515-36833",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK VISION",
            "identifier": "924809",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evie Laney, M.S., CCC-SLP
• Lynda Oden Larue, CRNP
• Leah Lanell Lecroy, MS CCC-SLP
• Bao N Luu, PT, DPT
• Ramzi A Malek, M.D.
• Joely Marim-Eberhardt, DMD, MS
• Daniel Thomas McAlpine, ALC
• Imani Dara Dayo McCarter
• Kenneth Brian McCay, CRNP
• Joanna McClain-Hooper, DMD

• Optometrist in Oneonta, AL
• Providers in Oneonta, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.