Organization Active NPI

Dr.Robert Kummer,O.D., a Professional Corporation

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1649461286
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5550 TPL Issued in CA
Legal business name
DR.ROBERT KUMMER,O.D., A PROFESSIONAL CORPORATION
Practice address
1421 S Robertson Blvd
Los Angeles, CA 90035-3401
Phone
(310) 274-0653
Fax
(310) 274-0360
NPI assigned
Aug 8, 2007
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Robert Kummer, O.D.NPI 1568469732
Title
President
Phone
(310) 274-0653

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5550 TPL CA Primary

Addresses

Primary practice location

1421 S Robertson Blvd
Los Angeles, CA 90035-3401

Mailing address

1421 S Robertson Blvd
Los Angeles, CA 90035-3401
Phone (310) 274-0653

Other identifiers 1

IdentifierTypeStateIssuer
SD0055500MedicaidCA

National Provider Directory

National Provider Directory

Locations

1421 S Robertson Blvd
Los Angeles, CA 90035
Phone (310) 274-0653

2605 Lincoln Blvd
Santa Monica, CA 90405
Phone (310) 452-1039

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1649461286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 S ROBERTSON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900353401",
            "telephone_number": "310-274-0653",
            "fax_number": "310-274-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 S ROBERTSON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900353401",
            "telephone_number": "310-274-0653",
            "fax_number": "310-274-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.ROBERT KUMMER,O.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "KUMMER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-274-0653",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5550 TPL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0055500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.

Verify at the official NPI Registry.