Kent M Robertson OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

NV257 Issued in NV

Legal business name

KENT M ROBERTSON OD INC

Practice address

409 Murry St
Ely, NV 89301

Phone

(775) 289-2580

Fax

(775) 289-2566

NPI assigned

Feb 26, 2007

Last updated

Mar 25, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kent M Robertson, ODNPI 1245420595

Title

Director

Phone

(775) 289-2580

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kent Mitchell Robertson, O.D.

  • Optometrist
  • Ely, NV
  • NPI 1245420595
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269475200000",
    "number": "1003942707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 MURRY ST",
            "city": "ELY",
            "state": "NV",
            "postal_code": "89301",
            "telephone_number": "775-289-2580",
            "fax_number": "775-289-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 MURRY ST",
            "city": "ELY",
            "state": "NV",
            "postal_code": "89301",
            "telephone_number": "775-289-2580",
            "fax_number": "775-289-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENT M ROBERTSON OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2010-03-25",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "KENT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "775-289-2580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NV",
            "license": "NV257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Nicole Hendrickson
• Alvera Henk
• Ashlyn Morgan Huntington, LMSW, CSW-I
• Jeffrey B Willes D C Inc
• William H K Kama, MD
• Emily Kay Laity-Munk, M.S.
• Kimberly R Lathan
• Devin Lauritzen
• Lori A Lewis
• Elizabeth Lorraine Leyba

• Optometrist in Ely, NV
• Providers in Ely, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.