Organization Active NPI

Bastin Optometric Eye Clinic

  • Optometrist
  • Hopkinsville, KY
National Provider Identifier
1043487515
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1164 DT Issued in KY
Legal business name
BASTIN OPTOMETRIC EYE CLINIC
Practice address
1016 S Main St
Hopkinsville, KY 42240-2010
Phone
(270) 886-2293
Fax
(270) 886-0399
NPI assigned
May 13, 2008
Last updated
Jun 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Robert Joseph Bastin, O.D.NPI 1306920228
Title
Optometrist
Phone
(270) 886-2293

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1164 DT KY Primary

Addresses

Primary practice location

1016 S Main St
Hopkinsville, KY 42240-2010

Mailing address

1016 S Main St
Hopkinsville, KY 42240-2010
Phone (270) 886-2293

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930092480 KY DME Supplier - Physician - Optometrist 9436278181 Practice locations: Hopkinsville, KY
O20180719002415 KY Part B Supplier - Clinic/Group Practice 9436278181 Receives reassigned benefits from 3 practitioners
Practice locations: Hopkinsville, KY

National Provider Directory

National Provider Directory

Locations

1016 S Main St
Hopkinsville, KY 42240
Phone (270) 886-2273

Practitioners & affiliated clinicians

Practitioners 3

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": "1210636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1043487515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 S MAIN ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422402010",
            "telephone_number": "270-886-2293",
            "fax_number": "270-886-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 S MAIN ST",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422402010",
            "telephone_number": "270-886-2293",
            "fax_number": "270-886-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BASTIN OPTOMETRIC EYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-13",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "BASTIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "270-886-2293",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1164 DT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.