Individual provider Active NPI

Robert D Slinker, OD

  • Optometrist
  • Springfield, MO
National Provider Identifier
1619016383
Registry record updated Apr 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T02895 Issued in MO
Practice address
3041 S Kimbrough Ave
Springfield, MO 65807-4856
Phone
(417) 470-3937
Fax
(417) 470-3938
NPI assigned
Feb 6, 2007
Last updated
Apr 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TO2895 MO
Optometrist 152W00000X T02895 MO Primary

Addresses

Primary practice location

3041 S Kimbrough Ave
Springfield, MO 65807-4856

Mailing address

3041 S Kimbrough Ave
Springfield, MO 65807-4856
Phone (417) 470-3937

Other identifiers 3

IdentifierTypeStateIssuer
312903016MedicaidMO
108441OtherMOMO BLUE SHIELD
81606OtherARARK BLUE SHIELD

Other names 1

  • R Derek Slinker Other name

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20080312000452 MO Practitioner - Optometry 6608951819 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Springfield Eye Specialists LLCGroup PAC ID 1850659160, 2 clinicians

Practice addresses (Care Compare)

3041 S Kimbrough Ave
Springfield, MO 65807-4856
Phone (417) 470-3937

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
T02895MOMDOptometrist
TO2895MOMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Eye Specialists LLC Optometrist CurrentSince Jan 1, 2018 Accepting new patients

Locations

3041 S Kimbrough Ave
Springfield, MO 65807
Phone (417) 470-3937

3231 S National Ave
Ste 165
Springfield, MO 65807
Phone (417) 820-9393

Interoperability endpoints

  • Direct secure messaging: rslinker817@directb.mercy.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1619016383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 S KIMBROUGH AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074856",
            "telephone_number": "417-470-3937",
            "fax_number": "417-470-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 S KIMBROUGH AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658074856",
            "telephone_number": "417-470-3937",
            "fax_number": "417-470-3938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLINKER",
        "first_name": "ROBERT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-06",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "TO2895",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "312903016",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO BLUE SHIELD",
            "identifier": "108441",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARK BLUE SHIELD",
            "identifier": "81606",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "R",
            "last_name": "SLINKER",
            "middle_name": "DEREK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.