Active NPI
Robert D Sloan, O.D.
- Optometrist
- Chillicothe, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T02343
- Practice address
- 1115 N Washington St.
Chillicothe, MO 64601 - Phone
- (660) 646-3937
- Fax
- (660) 646-4092
- NPI assigned
- Jun 19, 2006
- Last updated
- Jan 14, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T02343 | MO | Primary |
Addresses
Primary practice location
1115 N Washington St.
Chillicothe, MO 64601
Mailing address
1115 N Washington St.
Chillicothe, MO 64601
Phone (660) 646-3937
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 312590029 | Medicaid | MO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sloan Eyecare Center L.L.C | Optometrist | Current | Accepting new patients |
| Sloan Eyecare Center LLC | Optometrist | Current | Accepting new patients |
| Sloan Eyecare Center L.L.C | Optometrist | Current | Accepting new patients |
| Moyes Eye Center, P.C. | Past | Accepting new patients |
Locations
431 S Main St
Brookfield, MO 64628
Phone (660) 258-7409
1115 Washington St
Chillicothe, MO 64601
Phone (660) 258-7409
409 Washington St
Chillicothe, MO 64601
Phone (660) 646-3937
614 E 9th St
Trenton, MO 64683
Phone (660) 359-3957
Organizations & group practices 4
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.
-
- Specialist
- Kansas City, MO
- NPI 1700826229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642118400000",
"number": "1285679464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 N WASHINGTON ST.",
"city": "CHILLICOTHE",
"state": "MO",
"postal_code": "64601",
"telephone_number": "660-646-3937",
"fax_number": "660-646-4092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1115 N WASHINGTON ST.",
"city": "CHILLICOTHE",
"state": "MO",
"postal_code": "64601",
"telephone_number": "660-646-3937",
"fax_number": "660-646-4092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLOAN",
"first_name": "ROBERT",
"middle_name": "D",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-19",
"last_updated": "2022-01-14",
"certification_date": "2022-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "T02343",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "312590029",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chillicothe, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.