Individual provider Active NPI

Robert Lloyd Shapiro, O.D.

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1144212531
Registry record updated Feb 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6552 T Issued in CA
Practice address
555 S Broadway
Los Angeles, CA 90013-2301
Phone
(213) 627-5911
Fax
(213) 622-8048
NPI assigned
Aug 22, 2005
Last updated
Feb 5, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6552 T CA Primary

Addresses

Primary practice location

555 S Broadway
Los Angeles, CA 90013-2301

Mailing address

555 S Broadway
Los Angeles, CA 90013-2301
Phone (213) 627-5911

Other identifiers 1

IdentifierTypeStateIssuer
SD0065520MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20100407000320 CA Practitioner - Optometry 9133264617 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

555 S Broadway
Los Angeles, CA 90013-2301
Phone (213) 627-5911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6552 TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew Balfour & Robert Shapiro Optometrist CurrentSince Jun 15, 1992 Accepting new patients

Locations

555 S Broadway
Los Angeles, CA 90013
Phone (213) 627-5911

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265328000000",
    "number": "1144212531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 S BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900132301",
            "telephone_number": "213-627-5911",
            "fax_number": "213-622-8048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S BROADWAY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900132301",
            "telephone_number": "213-627-5911",
            "fax_number": "213-622-8048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "ROBERT",
        "middle_name": "LLOYD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2010-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "6552 T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0065520",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.