Individual provider Active NPI

Heather Ann Robben, O.D.

  • Optometrist
  • Wakeeney, KS
National Provider Identifier
1407869092
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1751 Issued in KS
Practice address
310 N 6TH St
Wakeeney, KS 67672-1805
Phone
(785) 743-5522
Fax
(785) 743-5577
NPI assigned
Aug 14, 2006
Last updated
May 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1751 KS Primary

Addresses

Primary practice location

310 N 6TH St
Wakeeney, KS 67672-1805

Mailing address

PO Box 458
Wakeeney, KS 67672-0458
Phone (785) 743-5522

Other identifiers 3

IdentifierTypeStateIssuer
P00436065OtherKSRR MCR
060539001OtherKSDMERC
410032265OtherKSRR MCR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20061030000596 KS Practitioner - Optometry 7214934538 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Houston - College of Optometry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heather a Robben OD LLCGroup PAC ID 2365605912, 3 clinicians

Practice addresses (Care Compare)

310 N 6TH St
Wakeeney, KS 67672-1802
Phone (785) 743-5522

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1751KSMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heather a Robben OD LLC Optometrist CurrentSince May 18, 2012 Accepting new patients
Dan F. Schmidt, O.D. P.a. Optometrist CurrentSince Sep 1, 2006 Accepting new patients
Werth Eye Group PA Optometrist PastSince Dec 24, 2023 Accepting new patients

Locations

3503 10th St
Great Bend, KS 67530
Phone (620) 792-5237

625 E 8th St
Hays, KS 67601
Phone (785) 625-2922

308 N 6th St
Wakeeney, KS 67672
Phone (785) 743-5522

310 N 6th St
Wakeeney, KS 67672
Phone (785) 743-5522

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1407869092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 458",
            "city": "WAKEENEY",
            "state": "KS",
            "postal_code": "676720458",
            "telephone_number": "785-743-5522",
            "fax_number": "785-743-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 N 6TH ST",
            "city": "WAKEENEY",
            "state": "KS",
            "postal_code": "676721805",
            "telephone_number": "785-743-5522",
            "fax_number": "785-743-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBBEN",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KS",
            "license": "1751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P00436065",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "060539001",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "410032265",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wakeeney, KS

Sources for this page

Verify at the official NPI Registry.