Active NPI
Robert Anthony Hyndiuk, M.D.
- Ophthalmology Physician
- Elm Grove, WI
National Provider Identifier
1649425919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 17586-020
- Practice address
- 12850 Gremoor Dr
Elm Grove, WI 53122-1810 - Phone
- (262) 786-9594
- NPI assigned
- Nov 29, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 17586-020 | WI | Primary |
Addresses
Primary practice location
12850 Gremoor Dr
Elm Grove, WI 53122-1810
Mailing address
12850 Gremoor Dr
Elm Grove, WI 53122-1810
Phone (262) 786-9594
Other names 1
- Dr. Robert Anthony Hyndiuk
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17586-020 | WI | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227916800000",
"number": "1649425919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12850 GREMOOR DR",
"city": "ELM GROVE",
"state": "WI",
"postal_code": "531221810",
"telephone_number": "262-786-9594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12850 GREMOOR DR",
"city": "ELM GROVE",
"state": "WI",
"postal_code": "531221810",
"telephone_number": "262-786-9594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYNDIUK",
"first_name": "ROBERT",
"middle_name": "ANTHONY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-11-29",
"last_updated": "2008-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "WI",
"license": "17586-020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ROBERT",
"last_name": "HYNDIUK",
"middle_name": "ANTHONY",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Elm Grove, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.