Active NPI
Heather a Robben OD LLC
- Optometrist
- Wakeeney, KS
National Provider Identifier
1306111992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1751
- 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
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Heather A Robben, OD
- 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.
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Wakeeney, KS
- NPI 1407869092
-
- Optometrist
- Wakeeney, KS
- NPI 1073141503
-
- Optometrist
- Hays, KS
- NPI 1013607324
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Medicare enrollment records 2
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
310 N 6th St
Wakeeney, KS 67672
Phone (785) 743-5522
308 N 6th St
Wakeeney, KS 67672
Phone (785) 743-5522
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1751 | KS | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
308 N 6TH St
Wakeeney, KS 67672-1802
Mailing address
PO Box 458
Wakeeney, KS 67672-0458
Phone (785) 743-5522
Other identifiers 4
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200402860A | Medicaid | KS | |
| 6152030001 | Other | KS | MEDICARE DME |
| 651156 | Other | KS | BLUE CROSS BLUE SHIELD |
| P00436065 | Other | KS | MEDICARE RAILROAD |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 9, 2013.
{
"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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200402860A",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE DME",
"identifier": "6152030001",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "651156",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00436065",
"state": "KS"
}
],
"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.