Robert Joaquin Foster, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618002124 Issued in VA

Practice address

3500 S Crater Rd
Petersburg, VA 23805-9204

Phone

(804) 861-2020

Fax

(804) 861-2115

NPI assigned

May 30, 2012

Last updated

Jul 30, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Pennsylvania College of Optometry, 2009

Medicare assignment

May accept Medicare assignment

Group practices

Legacy Eye CareGroup PAC ID 7214185057, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Legacy Eye Care

  • Optometrist
  • Petersburg, VA
  • NPI 1033470539
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343606400000",
    "number": "1447511001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 KNOLLCREST LN",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456715",
            "telephone_number": "919-607-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 S CRATER RD",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238059204",
            "telephone_number": "804-861-2020",
            "fax_number": "804-861-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSTER",
        "first_name": "ROBERT",
        "middle_name": "JOAQUIN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-30",
        "last_updated": "2012-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fobbs Family Services
• Ronald Omega Forbes, MD
• Tiffany Latoya Forbes
• Nekia Ford-Battle, LPN
• Rhonda Ford, DO
• Foundations Family Services LLC
• Foundations for Life Services LLC (Foundations For Life Services)
• Stephanie Gill Frankenstein, PHARM.D.
• Kendria Sherrill Frasier, CRNA
• Macy E Freeman

• Optometrist in Petersburg, VA
• Providers in Petersburg, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.