Active NPI
Robert Edward Bromm, O.D.
- Optometrist
- Evansville, IN
National Provider Identifier
1083641633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 18001664A
- Practice address
- 1150 Lincoln Ave
Evansville, IN 47714-1071 - Phone
- (812) 477-3937
- NPI assigned
- Jun 27, 2006
- Last updated
- Jul 31, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 18001664A | IN | Primary |
Addresses
Primary practice location
1150 Lincoln Ave
Evansville, IN 47714-1071
Mailing address
10144 Byron CT
Newburgh, IN 47630-9350
Phone (812) 490-0967
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18001664A | Other | IN | INDIANA LICENSE |
| 18001664B | Other | IN | OLDPAC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 18001664A | IN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Eye Associates, LLC | Past | Accepting new patients | |
| Hayden Vision LLC | Optometrist | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- Evansville, IN
- NPI 1477541449
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375228800000",
"number": "1083641633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10144 BYRON CT",
"city": "NEWBURGH",
"state": "IN",
"postal_code": "476309350",
"telephone_number": "812-490-0967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 LINCOLN AVE",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477141071",
"telephone_number": "812-477-3937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROMM",
"first_name": "ROBERT",
"middle_name": "EDWARD",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2013-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "18001664A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDIANA LICENSE",
"identifier": "18001664A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OLDPAC",
"identifier": "18001664B",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.