Robert Waldman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3382T1193 Issued in OH

Practice address

8900 Mentor Ave
Suite B
Mentor, OH 44060-7304

Phone

(440) 255-7727

NPI assigned

Jan 24, 2007

Last updated

May 1, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Robert A Waldman Professional name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Aeg Ohio Professional PC

  • Optometrist
  • Solon, OH
  • NPI 1154980811
  Medicare reassignment NPD
• McCoy-Tygart Drug Store Inc

  dba McCoy Tygart Drug

  • Community/Retail Pharmacy
  • Sheridan, AR
  • NPI 1073579843
  NPD

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1144375742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8030 AILEEN DR",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440607304",
            "telephone_number": "440-255-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8900 MENTOR AVE",
            "address_2": "SUITE B",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440607304",
            "telephone_number": "440-255-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDMAN",
        "first_name": "ROBERT",
        "name_prefix": "Prof.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3382T1193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0056572",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "WALDMAN",
            "middle_name": "A",
            "prefix": "DR.",
            "credential": "OD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Monda T Waked, DC
• Diane M Wakeley, PCC-S, LICDC
• Wal-Mart Stores East LP (Walmart Pharmacy 10-1857)
• Wal-Mart Stores East, LP (Vision Center 30-1857)
• Basil S Waldbaum, MD
• Walgreen Co (Walgreens #04317)
• Tracey Walker-Askew, LISW-S
• Courtney P Walker
• Heather Walker, A-GNP-C
• Jamie Walker, RDN,LD

• Optometrist in Mentor, OH
• Providers in Mentor, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.