Robert Gehrke OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046009461 Issued in IL

Legal business name

ROBERT GEHRKE OD

Practice address

7050 S Cicero Ave
Bedford Park, IL 60638-6402

Phone

(708) 496-0680

NPI assigned

Feb 22, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Robert Royer Gehrke, O.D.NPI 1992818694

Title

Optometrist

Phone

(312) 965-0234

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Robert R Gehrke, O.D.

  • Optometrist
  • Bedford Park, IL
  • NPI 1992818694
  NPD (past) Authorized official

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266796800000",
    "number": "1699097337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10624 JACOB DR",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604489474",
            "telephone_number": "708-479-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 S CICERO AVE",
            "city": "BEDFORD PARK",
            "state": "IL",
            "postal_code": "606386402",
            "telephone_number": "708-496-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT GEHRKE OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-22",
        "last_updated": "2010-02-22",
        "status": "A",
        "authorized_official_last_name": "GEHRKE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ROYER",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "312-965-0234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046009461",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Bedford Park, IL
• Providers in Bedford Park, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; 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.