Charles  N  Robbins    MD
Contract Details
Institute For Total Eye Care--Wetumpka
Facility name
Provider ID
P000001471
NPI
1376551929
Tax ID
630940618
Effective Date
10/1/2002
Last Updated
5/5/2014
Direct Contract
Yes
Term Date
5/29/2013
Status
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
8007 Highway 231
Wetumpka, AL 36092
United States
County
Elmore
Phone
3345679111 (Phone)
Billing Details
Address
4255 Carmichael Court North
Montgomery, AL 36106
Billing Phone
3342779111
Specialty Type
Ophthalmology
Map
Address