Individual provider Active NPI

Robert Amos Lohman I, O.D.

  • Corneal and Contact Management Optometrist
  • Boston Heights, OH
National Provider Identifier
1053464073
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OPT.003133 Issued in OH
Practice address
6720 Bass Pro Dr
Boston Heights, OH 44236-1198
Phone
(330) 341-7015
Fax
(330) 341-7014
NPI assigned
Jan 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3133 OH
Corneal and Contact Management Optometrist 152WC0802X OPT.003133 OH Primary

Addresses

Primary practice location

6720 Bass Pro Dr
Boston Heights, OH 44236-1198

Mailing address

2700 Sandy Lake Rd
Ravenna, OH 44266-8208
Phone (330) 631-5489

Other identifiers 1

IdentifierTypeStateIssuer
2275096MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3133OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lohman Eyecare Associates Optometrist PastSince May 27, 2017 Accepting new patients
Lohman Eye Care Associates Optometrist PastSince May 27, 2017 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1053464073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 SANDY LAKE RD",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442668208",
            "telephone_number": "330-631-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6720 BASS PRO DR",
            "city": "BOSTON HEIGHTS",
            "state": "OH",
            "postal_code": "442361198",
            "telephone_number": "330-341-7015",
            "fax_number": "330-341-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOHMAN",
        "first_name": "ROBERT",
        "middle_name": "AMOS",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-21",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3133",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "OH",
            "license": "OPT.003133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2275096",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.