Organization Active NPI

Roby OD and Associates PC

Doing business as Roby Eyecare Associates

  • Optometrist
  • Harvey, IL
National Provider Identifier
1356552053
Registry record updated Oct 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046008239 Issued in IL
Legal business name
ROBY OD AND ASSOCIATES PC
Doing business as
Roby Eyecare Associates
Practice address
15437 Broadway Ave
Harvey, IL 60426-3306
Phone
(708) 331-4441
Fax
(708) 331-5520
NPI assigned
May 24, 2007
Last updated
Oct 14, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2009

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

Authorized official

Name
Dr. Michele D. Roby, O.D.
Title
President
Phone
(708) 331-4441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046008239 IL Primary

Addresses

Primary practice location

15437 Broadway Ave
Harvey, IL 60426-3306

Mailing address

15437 Broadway Ave
Harvey, IL 60426-3306
Phone (708) 331-4441

Other names 1

  • Roby Eyecare Associates Doing business as

National Provider Directory

National Provider Directory

Locations

15437 Broadway Ave
Harvey, IL 60426
Phone (708) 331-4441

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255478400000",
    "number": "1356552053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15437 BROADWAY AVE",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604263306",
            "telephone_number": "708-331-4441",
            "fax_number": "708-331-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15437 BROADWAY AVE",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "604263306",
            "telephone_number": "708-331-4441",
            "fax_number": "708-331-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBY OD AND ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2009-10-14",
        "status": "A",
        "authorized_official_last_name": "ROBY",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-331-4441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roby Eyecare Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harvey, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2009; 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.