Provider Demographics
NPI:1235302704
Name:ROBBINS EYE CENTER PC
Entity type:Organization
Organization Name:ROBBINS EYE CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:GEARY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-918-9654
Mailing Address - Street 1:1 SASCO HILL RD OFC 202
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824-5670
Mailing Address - Country:US
Mailing Address - Phone:203-371-5800
Mailing Address - Fax:203-371-6551
Practice Address - Street 1:1 SASCO HILL RD
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-5670
Practice Address - Country:US
Practice Address - Phone:203-371-5800
Practice Address - Fax:203-371-6551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-07
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT021670207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTC02307Medicare PIN