Active NPI
Robert L. Livingston, O.D.P.C.
- Optometrist
- Spirit Lake, IA
National Provider Identifier
1144461864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 01647
- Legal business name
- ROBERT L. LIVINGSTON, O.D.P.C.
- Practice address
- 2600 Highway 9/71
Spirit Lake, IA 51360-7257 - Phone
- (712) 336-8939
- Fax
- (712) 336-8952
- NPI assigned
- Mar 9, 2009
- Last updated
- Mar 9, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Livingston, O.D.P.C.
- Title
- Doctor
- Phone
- (712) 336-8939
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 01647 | IA | Primary |
Addresses
Primary practice location
2600 Highway 9/71
Spirit Lake, IA 51360-7257
Mailing address
PO Box 317
Spirit Lake, IA 51360-0317
Phone (712) 336-8939
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 205-179 | Medicaid | IA | |
| 1932183720 | Other | IA | NPI NUMBER |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1236556800000",
"number": "1144461864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 317",
"city": "SPIRIT LAKE",
"state": "IA",
"postal_code": "513600317",
"telephone_number": "712-336-8939",
"fax_number": "712-336-8952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 HIGHWAY 9/71",
"city": "SPIRIT LAKE",
"state": "IA",
"postal_code": "513607257",
"telephone_number": "712-336-8939",
"fax_number": "712-336-8952"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT L. LIVINGSTON, O.D.P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-09",
"last_updated": "2009-03-09",
"status": "A",
"authorized_official_last_name": "LIVINGSTON",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "712-336-8939",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D.P.C."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IA",
"license": "01647",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "205-179",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI NUMBER",
"identifier": "1932183720",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spirit Lake, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.