Active NPI
Robert G Arick, OD
- Optometrist
- Stuart, FL
National Provider Identifier
1114911096
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC1257
- Practice address
- 4625 SE Dixie Hwy
Stuart, FL 34997 - Phone
- (772) 286-1090
- Fax
- (772) 286-1214
- NPI assigned
- Sep 7, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 | OPC1257 | FL | Primary |
Addresses
Primary practice location
4625 SE Dixie Hwy
Stuart, FL 34997
Mailing address
4625 SE Dixie Hwy
Stuart, FL 34997
Phone (772) 286-1090
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 084875100 | Medicaid | FL |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Health Supply Inc | Past | Accepting new patients | |
| Eye Care Vision Group P.a. | Optometrist | Past | Accepting new patients |
| South Florida Vision Services, Inc. | Optometrist | Past | 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.
-
- Prosthetic/Orthotic Supplier
- Jensen Beach, FL
- NPI 1871879882
-
- Optometrist
- Jensen Beach, FL
- NPI 1013445956
-
- Optometrist
- Fort Lauderdale, FL
- NPI 1912032566
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303171200000",
"number": "1114911096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4625 SE DIXIE HWY",
"city": "STUART",
"state": "FL",
"postal_code": "34997",
"telephone_number": "772-286-1090",
"fax_number": "772-286-1214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4625 SE DIXIE HWY",
"city": "STUART",
"state": "FL",
"postal_code": "34997",
"telephone_number": "772-286-1090",
"fax_number": "772-286-1214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARICK",
"first_name": "ROBERT",
"middle_name": "G",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-07",
"last_updated": "2011-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC1257",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "084875100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.