Organization Active NPI

Robert W Douville MD PA

  • Ophthalmology Physician
  • Key West, FL
National Provider Identifier
1023121944
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ROBERT W DOUVILLE MD PA
Practice address
1111 12TH St
Ste 107
Key West, FL 33040
Phone
(305) 294-8494
Fax
(305) 293-0120
NPI assigned
Aug 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert William Donville Jr., MD
Title
President
Phone
(305) 294-8496

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

1111 12TH St
Ste 107
Key West, FL 33040

Mailing address

1111 12TH St
Ste 107
Key West, FL 33040
Phone (305) 294-8494

Other names 1

  • Key West Eye Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
Key West Eye Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023121944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 12TH ST",
            "address_2": "STE 107",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "33040",
            "telephone_number": "305-294-8494",
            "fax_number": "305-293-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 12TH ST",
            "address_2": "STE 107",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "33040",
            "telephone_number": "305-294-8494",
            "fax_number": "305-293-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W DOUVILLE MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DONVILLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-294-8496",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Key West Eye Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Key West, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.