Provider Demographics
NPI:1861590937
Name:RUBINO, JANE E (OD)
Entity type:Individual
Prefix:DR
First Name:JANE
Middle Name:E
Last Name:RUBINO
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 HAWTHORN ST
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-1829
Mailing Address - Country:US
Mailing Address - Phone:205-329-3045
Mailing Address - Fax:
Practice Address - Street 1:3650 GALLERIA CIR
Practice Address - Street 2:
Practice Address - City:HOOVER
Practice Address - State:AL
Practice Address - Zip Code:35244-2346
Practice Address - Country:US
Practice Address - Phone:205-909-1042
Practice Address - Fax:205-909-1063
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALSA69TA621152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL770619485OtherEIN