Active NPI
Amber Roby, OD
- Optometrist
- Oklahoma City, OK
National Provider Identifier
1104834886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2500
- Practice address
- 211 N. Robinson
Suite 130
Oklahoma City, OK 73102 - Phone
- (405) 232-0877
- Fax
- (405) 232-5956
- NPI assigned
- Aug 4, 2006
- Sex
- Female
- 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 | 2500 | OK | Primary |
Addresses
Primary practice location
211 N. Robinson
Suite 130
Oklahoma City, OK 73102
Mailing address
211 N. Robinson
Suite 130
Oklahoma City, OK 73102
Phone (405) 232-0877
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9892071 | Other | OK | AETNA |
| 200095670A | Medicaid | OK | |
| 2803373 | Other | OK | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Njvoc, PLLC | Optometrist | Current | Accepting new patients |
| Tami R Ross, PC | Optometrist | Current | Accepting new patients |
| Northeastern State University College of Optometry | Optometrist | Past | Accepting new patients |
| Cherokee Nation | Past | Accepting new patients | |
| Cherokee Nation | Past | Accepting new patients |
Locations
10900 Hefner Pointe Dr
Ste 101
Oklahoma City, OK 73120
Phone (405) 842-6060
211 N Robinson Ave
Ste N130
Oklahoma City, OK 73102
Phone (405) 232-0877
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/2d405cde-1d8b-4a50-adff-ca7776cd856e/
Organizations & group practices 5
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.
-
- Optometrist
- Oklahoma City, OK
- NPI 1851630313
-
- Optometrist
- Oklahoma City, OK
- NPI 1114139680
-
- Public Health or Welfare Agency
- Tahlequah, OK
- NPI 1013884154
-
- Multi-Specialty Clinic/Center
- Tahlequah, OK
- NPI 1093722324
-
- Optometrist
- Tahlequah, OK
- NPI 1437106333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406592000000",
"number": "1104834886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 N. ROBINSON",
"address_2": "SUITE 130",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73102",
"telephone_number": "405-232-0877",
"fax_number": "405-232-5956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 N. ROBINSON",
"address_2": "SUITE 130",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "73102",
"telephone_number": "405-232-0877",
"fax_number": "405-232-5956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBY",
"first_name": "AMBER",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-04",
"last_updated": "2014-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "2500",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9892071",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200095670A",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2803373",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.