Martin Joel Robertso, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

TUV3129 Issued in NY

Practice address

555 Route 111
Hauppauge, NY 11788-4359

Phone

(631) 979-0515

Fax

(631) 979-6072

NPI assigned

Jan 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Hauppauge Vision Inc.

  • Optometrist
  • Hauppauge, NY
  • NPI 1245403609
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208390400000",
    "number": "1275688566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 ROUTE 111",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884359",
            "telephone_number": "631-979-0515",
            "fax_number": "631-979-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 ROUTE 111",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117884359",
            "telephone_number": "631-979-0515",
            "fax_number": "631-979-6072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSO",
        "first_name": "MARTIN",
        "middle_name": "JOEL",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2008-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV3129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giselle Rivas
• Kathryn Rivera
• Magalie Rivera
• Margarita Rivera, FNP
• Susan Robbins, LPN
• Robyn Shapiro, Audiologist PC
• Tina M. Rocco, M.A. CCC-SLP, HPCS
• Agustin Rodriguez
• Ana Rodriguez
• Anajairi Rodriguez

• Optometrist in Hauppauge, NY
• Providers in Hauppauge, NY by specialty
• Optometrist in New York

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