Active NPI
Robyn Dee Slikker, O.D.
- Optometrist
- San Diego, CA
National Provider Identifier
1154474195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9690T
- Practice address
- 2345 Fenton Pkwy
San Diego, CA 92108-4743 - Phone
- (619) 521-1006
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9690T | CA | Primary |
Addresses
Primary practice location
2345 Fenton Pkwy
San Diego, CA 92108-4743
Mailing address
16864 Saint James Dr
Poway, CA 92064-1137
Phone (858) 675-0054
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 6, 2020 through May 6, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9690T | CA | MD | Optometrist |
| 9690 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154474195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16864 SAINT JAMES DR",
"city": "POWAY",
"state": "CA",
"postal_code": "920641137",
"telephone_number": "858-675-0054",
"fax_number": "858-675-0054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 FENTON PKWY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921084743",
"telephone_number": "619-521-1006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLIKKER",
"first_name": "ROBYN",
"middle_name": "DEE",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "9690T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.