Roberts Optical Center, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

1603 Issued in FL

Legal business name

ROBERTS OPTICAL CENTER, INC

Practice address

23 NE 44TH St
Oakland Park, FL 33334-1437

Phone

(954) 776-0363

Fax

(954) 776-4262

NPI assigned

Apr 16, 2008

Organization subpart

No

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

Authorized official

Name

Robert E. MannNPI 1669534137

Title

Owner/Optician

Phone

(954) 776-0363

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Scott Mann, O.D.

  • Optometrist
  • Oakland Park, FL
  • NPI 1205283157
  Medicare reassignment NPD
• Robert E Mann

  • Optician
  • Oakland Park, FL
  • NPI 1669534137
  NPD (past) Authorized official

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469750400000",
    "number": "1447424858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 NE 44TH ST",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333341437",
            "telephone_number": "954-776-0363",
            "fax_number": "954-776-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 NE 44TH ST",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333341437",
            "telephone_number": "954-776-0363",
            "fax_number": "954-776-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTS OPTICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2016-07-29",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER/OPTICIAN",
        "authorized_official_telephone_number": "954-776-0363"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "1603",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "1603",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086606700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ridge-Edwards Dermatology PA
• Rising Voices Speech and Language Services LLC
• Jessica Rivas-Plata, D.D.S.
• Kurt W Robbins, LMFT
• Robert M Easton Jr OD PA
• Cristina Elena Roberts, FNP
• Shana Roberts, FNP-BC
• Keith Robinson, MD
• Lauren Marie Rocco
• Henry A Rodriguez-Martin, DMD

• Optometrist in Oakland Park, FL
• Providers in Oakland Park, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.