Individual provider Active NPI

Robbie D Sawyer, O.D.

  • Optometrist
  • Big Stone Gap, VA
National Provider Identifier
1366447021
Registry record updated Sep 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618000123 Issued in VA
Practice address
516 Powell Ave E
Big Stone Gap, VA 24219-2346
Phone
(276) 523-2424
Fax
(276) 523-0036
NPI assigned
Jun 17, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618000123 VA Primary

Addresses

Primary practice location

516 Powell Ave E
Big Stone Gap, VA 24219-2346

Mailing address

516 Powell Ave E
Big Stone Gap, VA 24219-2346
Phone (276) 523-2424

Other identifiers 1

IdentifierTypeStateIssuer
9204679MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20040521000188 VA Practitioner - Optometry 3678564309 Practice locations: Big Stone Gap, VA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

516 Powell Ave
Big Stone Gap, VA 24219-2346
Phone (276) 523-2424

516 Powell Ave E
Big Stone Gap, VA 24219-2346

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery135

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618000123VAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315267200000",
    "number": "1366447021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 POWELL AVE E",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242192346",
            "telephone_number": "276-523-2424",
            "fax_number": "276-523-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 POWELL AVE E",
            "city": "BIG STONE GAP",
            "state": "VA",
            "postal_code": "242192346",
            "telephone_number": "276-523-2424",
            "fax_number": "276-523-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWYER",
        "first_name": "ROBBIE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-17",
        "last_updated": "2011-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9204679",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Stone Gap, VA

Sources for this page

Verify at the official NPI Registry.