Robert Maher MD Robert Davis MD Et Al

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

602617024 Issued in WA

Legal business name

ROBERT MAHER MD ROBERT DAVIS MD ET AL

Doing business as

Spokane Optical Company LLC

Practice address

12525 E Mission Ave
Spokane Valley, WA 99216-1063

Phone

(509) 924-7271

Fax

(509) 928-7802

NPI assigned

Aug 22, 2012

Last updated

Aug 22, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Randall K Jacobson, MDNPI 1962400135

Title

Physician

Phone

(509) 456-0107

Specialties & licenses 1

Addresses

Other names 1

• Spokane Optical Company LLC Doing business as

Practitioners 1

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.

• Randall K. Jacobson, M.D.

  • Ophthalmology Physician
  • Spokane, WA
  • NPI 1962400135
  Authorized official Same address or phone

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

{
    "created_epoch": "1345593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345593600000",
    "number": "1306194394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12525 E MISSION AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161063",
            "telephone_number": "509-924-7271",
            "fax_number": "509-928-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12525 E MISSION AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992161063",
            "telephone_number": "509-924-7271",
            "fax_number": "509-928-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT MAHER MD ROBERT DAVIS MD ET AL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-22",
        "last_updated": "2012-08-22",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "509-456-0107",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "WA",
            "license": "602617024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spokane Optical Company LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brandon Roberson, MS,OTR
• Summer Lynn Roberson
• Robert B Burr PHD PS
• Robert I Hustrulid MD PLLC (Country Doctors)
• Robert L. Wilder DDS PS
• Cynthia K. Roberts Hollon, ARNP
• Ann M Roberts, MD
• Brenda Lea Roberts, LICSW, LCSW
• Jessica Marie Roberts, DO
• Kathleen Dupree Roberts, LMHC

• Eyewear Supplier in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Eyewear Supplier in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2012; 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.