PBR Optometrists LTD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1616 Issued in MN

Legal business name

PBR OPTOMETRISTS LTD

Practice address

500 E Bridge St
Redwood Falls, MN 56283-1168

Phone

(507) 637-5715

Fax

(507) 637-5715

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Roger D Pabst, O.D.NPI 1245383918

Title

Owner

Phone

(507) 637-5715

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Roger Dale Pabst, O.D.

  • Optometrist
  • Redwood Falls, MN
  • NPI 1245383918
  NPD (past) Authorized official

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207267200000",
    "number": "1659427672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 479",
            "city": "REDWOOD FALLS",
            "state": "MN",
            "postal_code": "562830479",
            "telephone_number": "507-637-5715",
            "fax_number": "507-637-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E BRIDGE ST",
            "city": "REDWOOD FALLS",
            "state": "MN",
            "postal_code": "562831168",
            "telephone_number": "507-637-5715",
            "fax_number": "507-637-5715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PBR OPTOMETRISTS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-04-04",
        "status": "A",
        "authorized_official_last_name": "PABST",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-637-5715",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MN",
            "license": "1616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "47652PB",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERREDONE",
            "identifier": "990021013139",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deannda R Neslon, LPTA
• Dorie Oja, RD
• Alan G Olson, MD
• Roger Dale Pabst, O.D.
• Jennifer Joy Pankonin, RN, PHN
• Performance Therapy, Inc
• Merle Clark Phillips, D.C.
• Janel Pond
• Ryan Christopher Pope, P.T., D.P.T.
• Lindsay Prescott

• Optometrist in Redwood Falls, MN
• Providers in Redwood Falls, MN by specialty
• Optometrist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.