Dr. Robert H. Sharp, P.C.
Organization Active NPI Optometrist · Corning, IA
NPI 1336117118 · NPPES record last updated Jun 2, 2009
Key facts
- NPI
- 1336117118
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- DR. ROBERT H. SHARP, P.C.
- Practice address
- 715 Davis Ave
Corning, IA 50841-1418 - Phone
- (641) 322-3147
- Fax
- (641) 322-3853
- NPI assigned
- Mar 9, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Robert H Sharp, O.D.
- Title
- President
- Phone
- (712) 243-1965
Other NPIs on the same Medicare enrollment 4
Practitioners 2
-
John G Thomsen, OD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040218000976 | IA | Part B Supplier - Clinic/Group Practice | 5092600023 |
Receives reassigned benefits from 6 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Red Oak, IA; Mt Ayr, IA; Creston, IA; Corning, IA; Atlantic, IA; Greenfield, IA |
National Provider Directory
Locations
514 N 4th St
Red Oak, IA 51566
Phone (712) 623-9433
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes | ||
| Eyewear Supplier | 332H00000X |
Addresses
Primary practice location
715 Davis Ave
Corning, IA 50841-1418
Mailing address
715 Davis Ave
PO Box 306
Corning, IA 50841-1418
Phone (641) 322-3147
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0739615 | Medicaid | IA |
Other names
- DBA Family Vision Center
Other providers in Corning, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.