Active NPI
Robert Kenneth Orr, OD
- Optometrist
- Lames, TX
National Provider Identifier
1487757795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3377TG
- Practice address
- 1601 North Bryan Ave
Lames, TX 79331 - Phone
- (806) 872-3667
- Fax
- (806) 872-2533
- NPI assigned
- Sep 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3377TG | TX | Primary |
Addresses
Primary practice location
1601 North Bryan Ave
Lames, TX 79331
Mailing address
1601 North Bryan Ave
Lames, TX 79331
Phone (806) 872-3667
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0645230001 | Other | PALMETTO GBA MEDICARE DME | |
| 093205501 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101103000221 | TX | Practitioner - Optometry | 4183743610 | Practice locations: Lamesa, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1601 N Bryan Ave
Lamesa, TX 79331-3144
Phone (806) 872-3667
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3377TG | TX | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487757795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 NORTH BRYAN AVE",
"city": "LAMES",
"state": "TX",
"postal_code": "79331",
"telephone_number": "806-872-3667",
"fax_number": "806-872-2533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 NORTH BRYAN AVE",
"city": "LAMES",
"state": "TX",
"postal_code": "79331",
"telephone_number": "806-872-3667",
"fax_number": "806-872-2533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORR",
"first_name": "ROBERT",
"middle_name": "KENNETH",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "3377TG",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA MEDICARE DME",
"identifier": "0645230001",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "093205501",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.