Robert Martin Mustard II, OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

1101002699 Issued in VA

Practice address

210 1/2 North Street
Bluefield, WV 24701

Phone

(304) 887-4072

NPI assigned

Oct 26, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193356800000",
    "number": "1629257522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 EAST RIVER AVE",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "24701",
            "telephone_number": "304-887-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 1/2 NORTH STREET",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "24701",
            "telephone_number": "304-887-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSTARD",
        "first_name": "ROBERT",
        "middle_name": "MARTIN",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "VA",
            "license": "1101002699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810009447",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Metilda Shobha Mullins, OTR/L
• Toni Renee Muncy, D.O.
• Chelsea Murphy
• Kayla Michelle Murphy
• James Murray
• Billie Jean Myers
• Naeem a Qazi MD Facc PC
• Sakib M Najjar, M. D.
• Allison Nance, OTR/L
• Nephrology and Hypertension

• Optician in Bluefield, WV
• Providers in Bluefield, WV by specialty
• Optician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.

Verify at the official NPI Registry.