Organization Active NPI

Dr. Robert H. Sharp, P.C.

Doing business as Family Vision Center

  • Optometrist
  • Red Oak, IA
National Provider Identifier
1194796763
Registry record updated Dec 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR. ROBERT H. SHARP, P.C.
Doing business as
Family Vision Center
Practice address
514 4TH St.
Red Oak, IA 51566
Phone
(712) 623-9433
Fax
(712) 623-6392
NPI assigned
Jan 31, 2006
Last updated
Dec 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2008

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

Authorized official

Name
Dr. Thomas L Thomsen, O.D.NPI 1063483634
Title
General Partner
Phone
(712) 623-6392

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

514 4TH St.
Red Oak, IA 51566

Mailing address

514 N 4TH St
Red Oak, IA 51566-2329
Phone (712) 623-9433

Other identifiers 1

IdentifierTypeStateIssuer
0745471MedicaidIA

Other names 1

  • Family Vision Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040218000976 IA Part B Supplier - Clinic/Group Practice 5092600023 Receives reassigned benefits from 6 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Red Oak, IA; Mt Ayr, IA; Creston, IA; Corning, IA; Atlantic, IA; Greenfield, IA

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

514 N 4th St
Red Oak, IA 51566
Phone (712) 623-9433

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1194796763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 N 4TH ST",
            "city": "RED OAK",
            "state": "IA",
            "postal_code": "515662329",
            "telephone_number": "712-623-9433",
            "fax_number": "712-623-6392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 4TH ST.",
            "city": "RED OAK",
            "state": "IA",
            "postal_code": "51566",
            "telephone_number": "712-623-9433",
            "fax_number": "712-623-6392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ROBERT H. SHARP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-31",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "THOMSEN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "712-623-6392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0745471",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Red Oak, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.