Active NPI
Robert L Platt, D.O.,M.D.
- Optometrist
- Hyannis, MA
National Provider Identifier
1326164286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2358
- Practice address
- 768 Iyanough Road
Pearl Vision Center
Hyannis, MA 02601 - Phone
- (508) 790-9700
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 2358 | MA | Primary |
Addresses
Primary practice location
768 Iyanough Road
Pearl Vision Center
Hyannis, MA 02601
Mailing address
302 Elliot Road
Centerville, MA 02632
Phone (508) 790-9700
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00026975 | Medicaid | MA | |
| 15995 | Other | MA | HARVARD PILGRIM |
| 60054 | Other | MA | AETNA |
| 0335479 | Medicaid | MA | |
| 002358 | Other | MA | TUFTS |
| W15352 | Other | MA | BC-BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2358 | MA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1326164286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 ELLIOT ROAD",
"city": "CENTERVILLE",
"state": "MA",
"postal_code": "02632",
"telephone_number": "508-790-9700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "768 IYANOUGH ROAD",
"address_2": "PEARL VISION CENTER",
"city": "HYANNIS",
"state": "MA",
"postal_code": "02601",
"telephone_number": "508-790-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLATT",
"first_name": "ROBERT",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.O.,M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "2358",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00026975",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "15995",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "60054",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0335479",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS",
"identifier": "002358",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC-BS",
"identifier": "W15352",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hyannis, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.