NPIMap

Organization Active NPI

Robyn L. Dragoo, OD PC

  • Optometrist
  • Novi, MI
National Provider Identifier
1447482369
Registry record updated Aug 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003870 Issued in MI
Legal business name
ROBYN L. DRAGOO, OD PC
Practice address
27600 Novi Rd
Novi, MI 48377-3420
Phone
(248) 348-1032
Fax
(248) 348-3593
NPI assigned
Aug 11, 2009
Last updated
Aug 11, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2009

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

Authorized official

Name
Robyn L Dragoo, O.D.NPI 1952426298
Title
Owner/Doctor
Phone
(248) 348-1032

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003870 MI Primary
Corneal and Contact Management Optometrist 152WC0802X 4901003870 MI

Addresses

Primary practice location

27600 Novi Rd
Novi, MI 48377-3420

Mailing address

4049 W Maple Rd
Wixom, MI 48393-1713
Phone (248) 348-1032

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090904000534 MI Part B Supplier - Clinic/Group Practice 7416002910 Receives reassigned benefits from 1 practitioner
Practice locations: Novi, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1249948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249948800000",
    "number": "1447482369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4049 W MAPLE RD",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483931713",
            "telephone_number": "248-348-1032",
            "fax_number": "248-348-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27600 NOVI RD",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483773420",
            "telephone_number": "248-348-1032",
            "fax_number": "248-348-3593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBYN L. DRAGOO, OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-11",
        "last_updated": "2009-08-11",
        "status": "A",
        "authorized_official_last_name": "DRAGOO",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "248-348-1032",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003870",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "MI",
            "license": "4901003870",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2009; 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.