Active NPI
Robert W Rogers, OD
- Corneal and Contact Management Optometrist
- Latrobe, PA
National Provider Identifier
1124099981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- OEG001241
- Practice address
- 1010 Ligonier St
Latrobe, PA 15650-1882 - Phone
- (724) 539-1671
- Fax
- (724) 539-1654
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Corneal and Contact Management Optometrist | 152WC0802X | OEG001241 | PA | Primary |
Addresses
Primary practice location
1010 Ligonier St
Latrobe, PA 15650-1882
Mailing address
1010 Ligonier St
Latrobe, PA 15650-1882
Phone (724) 539-1671
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0008463350004 | Medicaid | PA | |
| 0008463350001 | Medicaid | PA | |
| P00433387 | Other | PA | RAILROAD MEDICARE PTAN |
| 0008463350005 | Medicaid | PA | |
| 0008463350003 | Medicaid | PA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| OEG001241 | PA | MD | Corneal and Contact Management Optometrist |
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": "1426809600000",
"number": "1124099981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 LIGONIER ST",
"city": "LATROBE",
"state": "PA",
"postal_code": "156501882",
"telephone_number": "724-539-1671",
"fax_number": "724-539-1654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1010 LIGONIER ST",
"city": "LATROBE",
"state": "PA",
"postal_code": "156501882",
"telephone_number": "724-539-1671",
"fax_number": "724-539-1654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGERS",
"first_name": "ROBERT",
"middle_name": "W",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2015-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "PA",
"license": "OEG001241",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008463350004",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008463350001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "P00433387",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008463350005",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0008463350003",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Latrobe, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.