Robert L Albertson Jr., OD
Individual provider Active NPI Optometrist · Berwick, PA
NPI 1124027073 · NPPES record last updated Aug 3, 2011
Key facts
- NPI
- 1124027073
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OEG000465 (PA)
- Practice address
- 500 Fowler Ave
Berwick, PA 18603-3326 - Phone
- (570) 759-0365
- Fax
- (570) 759-0385
- NPI assigned
- Jul 21, 2005
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
500 Fowler Ave
Berwick, PA 18603-3326
Phone (570) 759-0365
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 45 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100517000152 | PA | Practitioner - Optometry | 8325176027 | Practice locations: Berwick, PA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OEG000465 | PA | Yes |
Addresses
Primary practice location
500 Fowler Ave
Berwick, PA 18603-3326
Mailing address
500 Fowler Ave
Berwick, PA 18603-3326
Phone (570) 759-0365
Other providers in Berwick, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 3, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.