Robert Patterson

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT002126 Issued in GA

Legal business name

ROBERT PATTERSON

Practice address

1209 Cleveland Hwy
#289
Dalton, GA 30721-8674

Phone

(252) 985-1371

NPI assigned

Sep 7, 2007

Organization subpart

No

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

Authorized official

Name

Robert S Patterson, OD

Title

Optometrist

Phone

(252) 985-1371

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Robert Patterson2 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 Patterson

  • Optometrist
  • Cleveland, TN
  • NPI 1003931965
  NPD tax ID

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1255526844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7396",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278040396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 CLEVELAND HWY",
            "address_2": "#289",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307218674",
            "telephone_number": "252-985-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT PATTERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "252-985-1371",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "52049272001",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265298982A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ricardo Raul Riesco, M.D.
• Ayman M. Rifai, M.D.
• Wicky Agudelo Rigos, PT
• John Scott Riley, M.S.
• Eric Yaniel Rivera-Cruz, DC
• Bethany Roberts, CBD
• Elayna Roberts, RD
• James Kevin Roberts, PT
• Michona Holly Robinson, FNP
• John Phillip Robison, DMD

• Optometrist in Dalton, GA
• Providers in Dalton, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.