Individual provider Active NPI

Aubrey Roberts, OD

  • Optometrist
  • Monett, MO
National Provider Identifier
1679002927
Registry record updated Jun 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2017017938 Issued in MO
Practice address
507 E Cleveland Ave
Monett, MO 65708-1750
Phone
(417) 235-5250
NPI assigned
Jun 9, 2017
Last updated
Jun 9, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2017017938 MO Primary

Addresses

Primary practice location

507 E Cleveland Ave
Monett, MO 65708-1750

Mailing address

507 E Cleveland Ave
Monett, MO 65708-1750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20170721001715 MO Practitioner - Optometry 8820368988 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Missouri St Louis - School of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nestleroad and Roberts, OptometristsGroup PAC ID 3274658018, 3 clinicians

Practice addresses (Care Compare)

507 E Cleveland Ave
Monett, MO 65708-1750
Phone (417) 235-5250

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery53

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Missouri Eye Institute LLC Optometrist CurrentSince Oct 17, 2017 Accepting new patients
Roberts Family Eyecare Optometrist CurrentSince Jul 22, 2017 Accepting new patients

Locations

1905 W 32nd St
Ste 301
Joplin, MO 64804
Phone (417) 624-8408

507 E Cleveland Ave
Monett, MO 65708
Phone (417) 235-5250

104 S Hickory St
Mount Vernon, MO 65712
Phone (417) 466-7620

1531 E Bradford Pkwy
Ste 100
Springfield, MO 65804

Organizations & group practices 3

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": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496966400000",
    "number": "1679002927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 E CLEVELAND AVE",
            "city": "MONETT",
            "state": "MO",
            "postal_code": "657081750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 E CLEVELAND AVE",
            "city": "MONETT",
            "state": "MO",
            "postal_code": "657081750",
            "telephone_number": "417-235-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "AUBREY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-09",
        "last_updated": "2017-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "2017017938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monett, MO

Sources for this page

Verify at the official NPI Registry.