Individual provider Active NPI

Rick L. Robenstine, O.D.

  • Optometrist
  • Alliance, OH
National Provider Identifier
1134197288
Registry record updated Jan 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3508 T618 Issued in OH
Practice address
1370 S Sawburg Ave
Suite B
Alliance, OH 44601-5761
Phone
(330) 821-5367
Fax
(330) 821-1981
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3508 T618 OH Primary

Addresses

Primary practice location

1370 S Sawburg Ave
Suite B
Alliance, OH 44601-5761

Mailing address

1370 S Sawburg Ave
Suite B
Alliance, OH 44601-5761
Phone (330) 821-5367

Other identifiers 2

IdentifierTypeStateIssuer
000000312625OtherOHANTHEM
0714598MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20040107000081 OH Practitioner - Optometry 4587562707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Vision Care of Alliance IncGroup PAC ID 7315845534, 3 clinicians

Practice addresses (Care Compare)

1370 S Sawburg Ave
Suite B
Alliance, OH 44601-5761
Phone (330) 821-5367

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3508 T618OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Vision Care of Alliance, Inc. Optometrist CurrentSince Apr 30, 2003 Accepting new patients

Locations

670 W State St
Ste B2
Alliance, OH 44601
Phone (216) 821-5367

1370 S Sawburg Ave
Ste B
Alliance, OH 44601
Phone (330) 821-5367

Organizations & group practices 1

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420675200000",
    "number": "1134197288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 S SAWBURG AVE",
            "address_2": "SUITE B",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446015761",
            "telephone_number": "330-821-5367",
            "fax_number": "330-821-1981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 S SAWBURG AVE",
            "address_2": "SUITE B",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446015761",
            "telephone_number": "330-821-5367",
            "fax_number": "330-821-1981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBENSTINE",
        "first_name": "RICK",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2015-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3508 T618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000312625",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0714598",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alliance, OH

Sources for this page

Verify at the official NPI Registry.