Individual provider Active NPI

Stewart David Robbins, O.D.

  • Optometrist
  • Ballinger, TX
National Provider Identifier
1194822064
Registry record updated Oct 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6723TG Issued in TX
Practice address
107 N 8TH St
Ballinger, TX 76821-5605
Phone
(325) 365-5755
Fax
(325) 365-5558
NPI assigned
Sep 20, 2006
Last updated
Oct 3, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 6723TG TX
Optometrist 152W00000X 6723TG TX Primary

Addresses

Primary practice location

107 N 8TH St
Ballinger, TX 76821-5605

Mailing address

107 N 8TH St
Ballinger, TX 76821-5605
Phone (325) 365-5755

Other identifiers 1

IdentifierTypeStateIssuer
176033201MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050816000259 TX Practitioner - Optometry 0345270716 Practice locations: Ballinger, TX
I20241202003529 TX Practitioner - Optometry 0345270716 Reassigns benefits to 1 organization
O20100930043984 TX DME Supplier - Physician - Optometrist 0446451462 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Ballinger, TX

Other NPIs on the same Medicare enrollment 1

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

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

107 N 8TH St
Ballinger, TX 76821-5605
Phone (325) 365-5755

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery77

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6723TGTXMDEyewear Supplier

Practice roles

OrganizationSpecialtyStatusNew patients
SDR Practices, LLC Optometrist CurrentSince Nov 12, 2024 Accepting new patients
SDR Practices, LLC Optometrist CurrentSince Aug 16, 2005 Accepting new patients

Locations

107 N 8th St
Ballinger, TX 76821
Phone (325) 365-5755

1114 S Commercial Ave
Coleman, TX 76834
Phone (325) 212-3870

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317600000000",
    "number": "1194822064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N 8TH ST",
            "city": "BALLINGER",
            "state": "TX",
            "postal_code": "768215605",
            "telephone_number": "325-365-5755",
            "fax_number": "325-365-5558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N 8TH ST",
            "city": "BALLINGER",
            "state": "TX",
            "postal_code": "768215605",
            "telephone_number": "325-365-5755",
            "fax_number": "325-365-5558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBBINS",
        "first_name": "STEWART",
        "middle_name": "DAVID",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2011-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TX",
            "license": "6723TG",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6723TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "176033201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballinger, TX

Sources for this page

Verify at the official NPI Registry.