Individual provider Active NPI

Robert Galban Jr., O.D.

  • Optometrist
  • Richmond, VA
National Provider Identifier
1124593728
Registry record updated Oct 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618002713 Issued in VA
Practice address
1601 Willow Lawn Dr Ste 254
Richmond, VA 23230-3431
Phone
(804) 288-2202
NPI assigned
Oct 10, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618002713 VA Primary

Addresses

Primary practice location

1601 Willow Lawn Dr Ste 254
Richmond, VA 23230-3431

Mailing address

4412 Oxbridge Rd
North Chesterfield, VA 23236-1040
Phone (415) 819-8678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181212003386 VA Practitioner - Optometry 7012252422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr Kristine Hue Van and Associates IncGroup PAC ID 8921280033, 4 clinicians

Practice addresses (Care Compare)

1601 Willow Lawn Dr
Suite 254
Richmond, VA 23230-3431
Phone (804) 288-2202

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618002713VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Kristine Hue Van and Associates Inc Optometrist CurrentSince Oct 1, 2018 Accepting new patients
Dr. W. David Spruill & Associates Optometrist PastSince Oct 1, 2018 Accepting new patients

Locations

1601 Willow Lawn Dr
Richmond, VA 23230
Phone (804) 288-3859

1601 Willow Lawn Dr
Ste 254
Richmond, VA 23230
Phone (804) 288-2202

1601 Willow Lawn Dr
Ste 254B
Richmond, VA 23230

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1124593728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4412 OXBRIDGE RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232361040",
            "telephone_number": "415-819-8678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 WILLOW LAWN DR STE 254",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232303431",
            "telephone_number": "804-288-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALBAN",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.