Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 046007852 | IL |
N | 152W00000X | Optometrist | 4901003028 | MI |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 046007852 | IL |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 4901003028 | MI |
N | 152WL0500X | Optomitrist - Low Vision Rehabilitation | 046007852 | IL |
N | 152WL0500X | Optomitrist - Low Vision Rehabilitation | 4901003028 | MI |
N | 152WP0200X | Pediatric Optomitrist | 046007852 | IL |
N | 152WP0200X | Pediatric Optomitrist | 4901003028 | MI |
N | 152WS0006X | Sports Vision | 046007852 | IL |
N | 152WS0006X | Sports Vision | 4901003028 | MI |
N | 152WV0400X | Optomitrist - Vision Therapist | 046007852 | IL |
N | 152WV0400X | Optomitrist - Vision Therapist | 4901003028 | MI |
N | 152WX0102X | Occupational Vision | 046007852 | IL |
N | 152WX0102X | Occupational Vision | 4901003028 | MI |
NPI | 1295887602 |
---|---|
Provider Name | Michael E Robinson |
First Address | Crystal Lake, IL 60014-7571 |
Second Address | Crystal Lake, IL 60014-7571 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/01/2007 |
Last Update Date | 06/05/2009 |