Individual provider Active NPI

Robert W Cashman, OD

  • Optometrist
  • Ada, OK
National Provider Identifier
1699716266
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
997 Issued in OK
Practice address
718 Arlington
Ada, OK 74820-3854
Phone
(580) 436-2423
Fax
(580) 436-2423
NPI assigned
Jun 8, 2006
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 997 OK Primary

Addresses

Primary practice location

718 Arlington
Ada, OK 74820-3854

Mailing address

PO Box 674
Ada, OK 74821-0674
Phone (580) 436-2423

Other identifiers 2

IdentifierTypeStateIssuer
12034390OtherOKCAQH
100761960AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20111202000519 OK Practitioner - Optometry 7214044106 Practice locations: Ada, OK

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

718 Arlington St
Ada, OK 74820-3854
Phone (580) 436-2423

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
997OKMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1699716266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748210674",
            "telephone_number": "580-436-2423",
            "fax_number": "580-436-2423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 ARLINGTON",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748203854",
            "telephone_number": "580-436-2423",
            "fax_number": "580-436-2423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASHMAN",
        "first_name": "ROBERT",
        "middle_name": "W",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12034390",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100761960A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, OK

Sources for this page

Verify at the official NPI Registry.