Robert Dale Head, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1049 Issued in OK

Practice address

1302 SW C Ave
Lawton, OK 73501-4243

Phone

(580) 355-1298

Fax

(580) 581-7201

NPI assigned

Mar 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dr Robert D Head and Dr Jennifer L Head LLCGroup PAC ID 7810152790, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dr Robert D Head and Dr Jennifer L Head LLC

  • Optometrist
  • Lawton, OK
  • NPI 1043426901
  Medicare reassignment Care Compare group NPD
• Dr Robert D Head and Dr Jennifer L Head LLC Robert D Head Jr Sole MBR

  • Optometrist
  • Lawton, OK
  • NPI 1730498890
  NPD Authorized official

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331164800000",
    "number": "1356470975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 SW C AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735014243",
            "telephone_number": "580-355-1298",
            "fax_number": "580-581-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 SW C AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735014243",
            "telephone_number": "580-355-1298",
            "fax_number": "580-581-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAD",
        "first_name": "ROBERT",
        "middle_name": "DALE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-02",
        "last_updated": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100763770A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Glenda Faye Haynes, BS
• David Wayne Hays, MD
• Emmett Hayslip
• Melanie Hazle
• Kyle Robert Head, O.D.
• William Joseph Headen, MS
• Healogics Specialty Physicians of Oklahoma, PLLC
• Health Watch Health Care of SW Oklahoma, LLC
• Healthcare Innovations of Western Oklahoma, LLC
• Healthcare Management Group of Lawton Inc

• Optometrist in Lawton, OK
• Providers in Lawton, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.