Active NPI
Robertson & Koenig, LTD
- Optometrist
- Fernley, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- ROBERTSON & KOENIG, LTD
- Practice address
- 415 US Highway 95a S
Suite 101
Fernley, NV 89408-9007 - Phone
- (775) 575-1966
- Fax
- (775) 575-1967
- NPI assigned
- Jan 26, 2006
- Last updated
- Jun 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Carl D Robertson, O.D.
- Title
- President
- Phone
- (775) 575-1966
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NU | Primary |
Addresses
Primary practice location
415 US Highway 95a S
Suite 101
Fernley, NV 89408-9007
Mailing address
415 US Highway 95a S
Suite 101
Fernley, NV 89408-9062
Phone (775) 575-1966
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100505610 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040324000939 | NV | Part B Supplier - Clinic/Group Practice | 5193616480 |
Receives reassigned benefits from 5 practitioners 3 other NPIs on this enrollment Practice locations: Yerington, NV; Fernley, NV; Dayton, NV; Fallon, NV |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Dr Carl D Robertson and Dr Gregory S Koenig Optometrists
- Optometrist
- Fallon, NV
- NPI 1194798231
O20040324000939
-
dba Dayton Family Vision
- Optometrist
- Dayton, NV
- NPI 1255226072
O20040324000939
National Provider Directory
National Provider DirectoryLocations
415 US Highway 95A S
Ste 101
Fernley, NV 89408
Phone (775) 575-1966
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Fernley, NV
- NPI 1659341782
-
- Optometrist
- Fernley, NV
- NPI 1194386409
-
- Optometrist
- Fallon, NV
- NPI 1386404382
-
- Optometrist
- Fernley, NV
- NPI 1255301388
-
- Optometrist
- Fallon, NV
- NPI 1003675489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213056000000",
"number": "1699745059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 US HIGHWAY 95A S",
"address_2": "SUITE 101",
"city": "FERNLEY",
"state": "NV",
"postal_code": "894089062",
"telephone_number": "775-575-1966",
"fax_number": "775-575-1967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 US HIGHWAY 95A S",
"address_2": "SUITE 101",
"city": "FERNLEY",
"state": "NV",
"postal_code": "894089007",
"telephone_number": "775-575-1966",
"fax_number": "775-575-1967"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERTSON & KOENIG, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-26",
"last_updated": "2008-06-10",
"status": "A",
"authorized_official_last_name": "ROBERTSON",
"authorized_official_first_name": "CARL",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "775-575-1966",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100505610",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fernley, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.