Active NPI
Tobin Optical Center
- Eyewear Supplier
- Council Bluffs, IA
National Provider Identifier
1477615268
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- TOBIN OPTICAL CENTER
- Practice address
- 900 Woodbury
Suite 8B
Council Bluffs, IA 51503 - Phone
- (712) 328-2225
- Fax
- (712) 325-4625
- NPI assigned
- Dec 15, 2006
- Last updated
- Dec 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert F Tobin, M.D.
- Title
- Medical Director
- Phone
- (816) 279-1363
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | IA | Primary |
Addresses
Primary practice location
900 Woodbury
Suite 8B
Council Bluffs, IA 51503
Mailing address
1407 Village Drive
Saint Joseph, MO 64506
Phone (816) 279-1363
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4947192 | Medicaid | IA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Ophthalmology Physician
- Saint Joseph, MO
- NPI 1740259209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166140800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196899200000",
"number": "1477615268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1407 VILLAGE DRIVE",
"city": "SAINT JOSEPH",
"state": "MO",
"postal_code": "64506",
"telephone_number": "816-279-1363",
"fax_number": "816-233-8936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 WOODBURY",
"address_2": "SUITE 8B",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "51503",
"telephone_number": "712-328-2225",
"fax_number": "712-325-4625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOBIN OPTICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-15",
"last_updated": "2007-12-06",
"status": "A",
"authorized_official_last_name": "TOBIN",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "816-279-1363",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "IA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4947192",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Council Bluffs, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.