Organization Active NPI

Heather a Robben OD LLC

  • Optometrist
  • Wakeeney, KS
National Provider Identifier
1306111992
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1751 Issued in KS
Legal business name
HEATHER A ROBBEN OD LLC
Practice address
308 N 6TH St
Wakeeney, KS 67672-1802
Phone
(785) 743-5522
NPI assigned
Mar 14, 2012
Last updated
Jul 9, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Authorized official

Name
Dr. Heather A Robben, ODNPI 1407869092
Title
Optometrist
Phone
(785) 259-3097

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1751 KS Primary

Addresses

Primary practice location

308 N 6TH St
Wakeeney, KS 67672-1802

Mailing address

PO Box 458
Wakeeney, KS 67672-0458
Phone (785) 743-5522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120518000487 KS Part B Supplier - Clinic/Group Practice 2365605912 Receives reassigned benefits from 3 practitioners
Practice locations: Wakeeney, KS
O20121018000283 KS DME Supplier - Physician - Optometrist 2365605912 Practice locations: Wakeeney, KS

National Provider Directory

National Provider Directory

Locations

3503 10th St
Great Bend, KS 67530
Phone (620) 792-5237

308 N 6th St
Wakeeney, KS 67672
Phone (785) 743-5522

310 N 6th St
Wakeeney, KS 67672
Phone (785) 743-5522

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1306111992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 458",
            "city": "WAKEENEY",
            "state": "KS",
            "postal_code": "676720458",
            "telephone_number": "785-743-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 N 6TH ST",
            "city": "WAKEENEY",
            "state": "KS",
            "postal_code": "676721802",
            "telephone_number": "785-743-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER A ROBBEN OD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-14",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "ROBBEN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "785-259-3097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakeeney, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.