Gary L Roberts, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OEG000379 Issued in PA

Practice address

2151 Shenango Valley Fwy
Hermitage, PA 16148-2586

Phone

(724) 346-5516

NPI assigned

Nov 2, 2006

Last updated

Jul 8, 2007By 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 OH

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

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Art of Eyecare, PC

  • Optometrist
  • Hermitage, PA
  • NPI 1629156823
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598843815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 KING DR",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161482538",
            "telephone_number": "724-981-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 SHENANGO VALLEY FWY",
            "city": "HERMITAGE",
            "state": "PA",
            "postal_code": "161482586",
            "telephone_number": "724-346-5516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "GARY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard L Holzworth (Penn-Ohio Rehabilitation)
• Steven O. Riggall, MD
• Janet Sara Robb, CRNP
• Robert L Stein DO PC (Valley Eye Center)
• Robert W. Piston, M.D. P.C. (Specialty Orthopaedics, P.C.)
• Tiffany Louise Rodgers, COTA/L
• Roni Sue Rosati, DDS
• Roscoe Physiotherapy Co
• Anthony Maurice Roscoe, PT, DPT
• Carrie Rose

• Optometrist in Hermitage, PA
• Providers in Hermitage, PA by specialty
• Optometrist in Pennsylvania

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.