Individual provider Active NPI

Robert H Sharp, O.D.

  • Optometrist
  • Atlantic, IA
National Provider Identifier
1083685804
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
01653 Issued in IA
Practice address
4 W 5TH St
Atlantic, IA 50022-1244
Phone
(712) 243-1965
Fax
(712) 243-1966
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 01653 IA Primary

Addresses

Primary practice location

4 W 5TH St
Atlantic, IA 50022-1244

Mailing address

4 W 5TH St
PO Box 249
Atlantic, IA 50022-1244
Phone (712) 243-1965

Other identifiers 2

IdentifierTypeStateIssuer
1142224MedicaidIA
0142224MedicaidIA

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
01653IAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert H. Sharp, O.D., PC Optometrist PastSince Jan 1, 1990 Accepting new patients
Robert H. Sharp, O.D., PC Optometrist PastSince Jan 1, 1990 Accepting new patients
Robert H. Sharp, O.D., PC Optometrist PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 3

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1083685804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 W 5TH ST",
            "address_2": "PO BOX 249",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221244",
            "telephone_number": "712-243-1965",
            "fax_number": "712-243-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 W 5TH ST",
            "city": "ATLANTIC",
            "state": "IA",
            "postal_code": "500221244",
            "telephone_number": "712-243-1965",
            "fax_number": "712-243-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHARP",
        "first_name": "ROBERT",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "01653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1142224",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0142224",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; 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.