Active NPI
Dennis J Robinson, OD
- Optometrist
- Freeport, IL
National Provider Identifier
1972605921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046007308
- Practice address
- 1000 Kiwanis Dr
Freeport, IL 61032-6921 - Phone
- (815) 235-6177
- Fax
- (815) 235-6180
- NPI assigned
- Sep 1, 2006
- Last updated
- Oct 16, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046007308 | IL | Primary |
Addresses
Primary practice location
1000 Kiwanis Dr
Freeport, IL 61032-6921
Mailing address
1000 Kiwanis Dr
Freeport, IL 61032-6921
Phone (815) 235-6177
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1381881600000",
"number": "1972605921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 KIWANIS DR",
"city": "FREEPORT",
"state": "IL",
"postal_code": "610326921",
"telephone_number": "815-235-6177",
"fax_number": "815-235-6180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 KIWANIS DR",
"city": "FREEPORT",
"state": "IL",
"postal_code": "610326921",
"telephone_number": "815-235-6177",
"fax_number": "815-235-6180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "DENNIS",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-01",
"last_updated": "2013-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046007308",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Freeport, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.