Robertson Eye Center

Primary specialty

OptometristTaxonomy code 152W00000X

License

2649 Issued in AR

Legal business name

ROBERTSON EYE CENTER

Practice address

2424 W Main St
Russellville, AR 72801-2531

Phone

(501) 844-9130

NPI assigned

May 25, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Melia R Robertson, ODNPI 1265746564

Title

Optometrist

Phone

(501) 844-9130

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melia Ray Robertson, O.D.

  • Optometrist
  • Russellville, AR
  • NPI 1265746564

  AR

  Medicare reassignment Care Compare group Authorized official
• Hannah Mae Fairchild, OD

  • Optometrist
  • Russellville, AR
  • NPI 1780362939

  AR, Optometrist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1215220132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 MALLARD LN",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728014765",
            "telephone_number": "501-844-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 W MAIN ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012531",
            "telephone_number": "501-844-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTSON EYE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "MELIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "501-844-9130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn Ann Robbins, RN
• Hollie Roberson
• Robert Vogler, P.a.
• Amanda D. Roberts, LPC
• Amy Roberts, LAC
• Melia Ray Robertson, O.D.
• Sarah Elizabeth Robertson, MD
• Kelli L Robinson, SLP
• Rachel E. Mikles Robinson, CCC-SLP
• Victor Roble, CIT

• All providers in Russellville, AR
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.