Organization Active NPI

Robert L. Livingston, O.D.P.C.

  • Optometrist
  • Spirit Lake, IA
National Provider Identifier
1144461864
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
01647 Issued in IA
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
205-179MedicaidIA
1932183720OtherIANPI NUMBER

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.