Robert G Skelley PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

01672 Issued in IA

Legal business name

ROBERT G SKELLEY PC

Practice address

204 N Arcade St
Maquoketa, IA 52060-2006

Phone

(563) 652-5603

Fax

(563) 323-0949

NPI assigned

Nov 9, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Robert Gerard Skelley, O.D.

Title

President

Phone

(563) 652-5603

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1083941272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 670",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520600670",
            "telephone_number": "563-652-5603",
            "fax_number": "563-323-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 N ARCADE ST",
            "city": "MAQUOKETA",
            "state": "IA",
            "postal_code": "520602006",
            "telephone_number": "563-652-5603",
            "fax_number": "563-323-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT G SKELLEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-09",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "SKELLEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "GERARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-652-5603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IA",
            "license": "01672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0156133",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Maquoketa, IA
• Providers in Maquoketa, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.