Dr. Robert H Sharp, PC
Organization Active NPI Optometrist · Mount Ayr, IA
NPI 1700224714 · NPPES record last updated Jun 12, 2013
Key facts
- NPI
- 1700224714
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 002595 (IA)
- Legal business name
- DR. ROBERT H SHARP, PC
- Practice address
- 102 N Fillmore St
Mount Ayr, IA 50854-1626 - Phone
- (641) 464-2813
- NPI assigned
- Jun 12, 2013
- Organization subpart
- No
Authorized official
- Name
- Dr. Robert H Sharp, DO
- Title
- Owner
- Phone
- (712) 243-1965
Other NPIs on the same Medicare enrollment 4
Practitioners 7
-
Travis Jones, OD
-
John G Thomsen, OD
-
Linda S Thomsen, O.D.
-
Thomas L Thomsen, O.D.
-
Joel Jordan Weis, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040218000976 | IA | Part B Supplier - Clinic/Group Practice | 5092600023 |
Receives reassigned benefits from 6 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Red Oak, IA; Mt Ayr, IA; Creston, IA; Corning, IA; Atlantic, IA; Greenfield, IA |
National Provider Directory
Locations
102 N Fillmore St
Mount Ayr, IA 50854
Phone (641) 464-2813
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 002595 | IA | Yes |
Addresses
Primary practice location
102 N Fillmore St
Mount Ayr, IA 50854-1626
Mailing address
102 N Fillmore St
Mount Ayr, IA 50854-1626
Phone (641) 464-2813
Other providers in Mount Ayr, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.