Individual provider Active NPI

Robert Curtis Dickey, O.D.

  • Optometrist
  • Santa Monica, CA
National Provider Identifier
1659416022
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8218T Issued in CA
Practice address
901 Montana Ave
Suite a
Santa Monica, CA 90403-1544
Phone
(310) 451-5741
Fax
(310) 395-0025
NPI assigned
Feb 21, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8218T CA Primary

Addresses

Primary practice location

901 Montana Ave
Suite a
Santa Monica, CA 90403-1544

Mailing address

901 Montana Ave
Suite a
Santa Monica, CA 90403-1544
Phone (310) 451-5741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20170614001743 CA Practitioner - Optometry 0244508380 Practice locations: Santa Monica, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8218TCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Sahar Bardi, O.D., PC Optometrist Past Accepting new patients

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": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659416022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MONTANA AVE",
            "address_2": "SUITE A",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904031544",
            "telephone_number": "310-451-5741",
            "fax_number": "310-395-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MONTANA AVE",
            "address_2": "SUITE A",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904031544",
            "telephone_number": "310-451-5741",
            "fax_number": "310-395-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKEY",
        "first_name": "ROBERT",
        "middle_name": "CURTIS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8218T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.