Organization Active NPI

Robert Love OD and Associates PA

  • Optometrist
  • Lake Mary, FL
National Provider Identifier
1083664957
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3365 Issued in FL
Legal business name
ROBERT LOVE OD AND ASSOCIATES PA
Practice address
1331 S International Pkwy
Ste 1271
Lake Mary, FL 32746-1405
Phone
(407) 323-1130
Fax
(407) 323-0979
NPI assigned
May 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Authorized official

Name
Dr. Robert Love, O.D.NPI 1295785160
Title
Owner/President
Phone
(407) 323-1130

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 OPC3365 FL Primary

Addresses

Primary practice location

1331 S International Pkwy
Ste 1271
Lake Mary, FL 32746-1405

Mailing address

1331 S International Pkwy
Ste 1271
Lake Mary, FL 32746-1405
Phone (407) 323-1130

Other identifiers 2

IdentifierTypeStateIssuer
20927OtherFLBLUE CROSS BLUE SHIELD
1242470001OtherFLDME NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041006000298 FL Part B Supplier - Clinic/Group Practice 7214996495 Receives reassigned benefits from 1 practitioner
Practice locations: Lake Mary, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2042828Robert Love OD and Assoc PA1331 S International Pkwy Ste 1271, Lake Mary, FL 32746Certificate of waiverJun 20, 2028

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: robert@lakemaryeyecare.eyefinity-direct.com

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185926400000",
    "number": "1083664957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 S INTERNATIONAL PKWY",
            "address_2": "STE 1271",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461405",
            "telephone_number": "407-323-1130",
            "fax_number": "407-323-0979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 S INTERNATIONAL PKWY",
            "address_2": "STE 1271",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327461405",
            "telephone_number": "407-323-1130",
            "fax_number": "407-323-0979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT LOVE OD AND ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2007-08-01",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "407-323-1130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3365",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "20927",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME NUMBER",
            "identifier": "1242470001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.