Robert E Titcomb OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

06180000523 Issued in VA

Legal business name

ROBERT E TITCOMB OD PC

Practice address

1020 Independence Blvd, Suite 307
Haygood Medical Center
Virginia Beach, VA 23455-5543

Phone

(757) 460-3688

Fax

(757) 460-5516

NPI assigned

Nov 14, 2006

Last updated

Dec 17, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Robert Edward Titcomb, ODNPI 1316954621

Title

Optometrist

Phone

(757) 460-3688

Specialties & licenses 2

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Tax ID family

Robert E Titcomb OD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Robert E Titcomb Office

  • Optometrist
  • Cape Charles, VA
  • NPI 1962578823
  NPD tax ID

Locations

Practitioners 1

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.

• Robert Edward Titcomb, OD

  • Optometrist
  • Virginia Beach, VA
  • NPI 1316954621
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1225100399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 INDEPENDENCE BLVD, SUITE 307",
            "address_2": "HAYGOOD MEDICAL CENTER",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555543",
            "telephone_number": "757-460-3688",
            "fax_number": "757-460-5516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 INDEPENDENCE BLVD, SUITE 307",
            "address_2": "HAYGOOD MEDICAL CENTER",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234555543",
            "telephone_number": "757-460-3688",
            "fax_number": "757-460-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT E TITCOMB OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "TITCOMB",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "757-460-3688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "06180000523",
            "primary": true
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "VA",
            "license": "0618000523",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION SERVICE PLAN",
            "identifier": "352348626",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "07124",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "300065",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "061152",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "2923",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009204008",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "111661",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert B Thoma DC PC
• Robert C Blackwood MD Inc (Family Medicine Center)
• Robert D Wernick DDS PC
• Robert D. Lehman, M.D., P.C (Pediatric Affiliates of Hampton Roads)
• Robert D. Wernick, D.D.S, P.C.
• Robert Lee Kenney DDS
• Robert Seim OD, PC (Atlantic Eyecare)
• Robert W Sullivan DPM PC
• Frank Andre Roberto, M.D.
• Sharon Lucille Roberts-Carter, MS., LPC

• Optometrist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; 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.