Robert M Theaker, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 9640 TPA Issued in CA

Practice address

365 6TH St
Hollister, CA 95023-3834

Phone

(831) 637-5536

Fax

(831) 637-7601

NPI assigned

Aug 9, 2006

Last updated

Jun 9, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of California - School of Optometry, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Robert M Theaker O D an Optometric CorporationGroup PAC ID 1254523418, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Robert M Theaker O D an Optometric Corporation

  • Optometrist
  • Hollister, CA
  • NPI 1255342044
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307577600000",
    "number": "1053321984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 6TH ST",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950233834",
            "telephone_number": "831-637-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 6TH ST",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950233834",
            "telephone_number": "831-637-5536",
            "fax_number": "831-637-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEAKER",
        "first_name": "ROBERT",
        "middle_name": "M",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2011-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 9640 TPA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parviz Tabibian, MD
• Rediet Yeshanew Taddesse, FNP
• Brendon Taguinod, MS, ATC
• Terry W Slaughter DDS MSD Inc
• The Lakes Arlington
• Jenni Lynn Thiessen
• Deborah Mae Thorpe, RN, CNS
• Thrifty Payless Inc (Rite Aid Pharmacy 05971)
• Katie Tobiska
• Jessica Toledo

• Optometrist in Hollister, CA
• Providers in Hollister, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.