Active NPI
Robertson & Koenig LTD
Doing business as Dr Carl D Robertson and Dr Gregory S Koenig Optometrists
- Optometrist
- Fallon, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- ROBERTSON & KOENIG LTD
- Doing business as
- Dr Carl D Robertson and Dr Gregory S Koenig Optometrists
- Practice address
- 65 N Taylor St
Fallon, NV 89406-2750 - Phone
- (775) 423-8024
- Fax
- (775) 423-8593
- NPI assigned
- Feb 9, 2006
- Last updated
- Apr 29, 2008
- 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. Carl D Robertson, OD
- Title
- President
- Phone
- (775) 423-8024
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
65 N Taylor St
Fallon, NV 89406-2750
Mailing address
65 N Taylor St
Fallon, NV 89406-2750
Phone (775) 423-8024
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100506217 | Medicaid | NV |
Other names 1
- Dr Carl D Robertson and Dr Gregory S Koenig Optometrists
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040324000939 | NV | Part B Supplier - Clinic/Group Practice | 5193616480 |
Receives reassigned benefits from 5 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Yerington, NV; Fernley, NV; Dayton, NV; Fallon, NV |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Dayton Family Vision
- Optometrist
- Dayton, NV
- NPI 1255226072
O20040324000939
National Provider Directory
National Provider DirectoryLocations
6 Pine Cone Rd
Ste 6
Dayton, NV 89403
Phone (775) 285-7573
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Optometrist
- Fernley, NV
- NPI 1194386409
-
- Optometrist
- Fernley, NV
- NPI 1255301388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139443200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209427200000",
"number": "1194798231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "65 N TAYLOR ST",
"city": "FALLON",
"state": "NV",
"postal_code": "894062750",
"telephone_number": "775-423-8024",
"fax_number": "775-423-8593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 N TAYLOR ST",
"city": "FALLON",
"state": "NV",
"postal_code": "894062750",
"telephone_number": "775-423-8024",
"fax_number": "775-423-8593"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERTSON & KOENIG LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-02-09",
"last_updated": "2008-04-29",
"status": "A",
"authorized_official_last_name": "ROBERTSON",
"authorized_official_first_name": "CARL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "775-423-8024",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100506217",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dr Carl D Robertson and Dr Gregory S Koenig Optometrists",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fallon, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 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.