Individual provider Active NPI

Amy Neuhoff Robertson, M.D.

  • Ophthalmology Physician
  • Cedar Park, TX
National Provider Identifier
1700955689
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
K4213 Issued in TX
Practice address
12171 W Parmer LN
Ste 201
Cedar Park, TX 78613-7361
Phone
(512) 528-1144
Fax
(512) 528-1143
NPI assigned
Nov 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X K4213 TX Primary

Addresses

Primary practice location

12171 W Parmer LN
Ste 201
Cedar Park, TX 78613-7361

Mailing address

13209 Country Lake Dr
Austin, TX 78732-1901
Phone (512) 266-2322

Other names 1

  • Amy Neuhoff Rand Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
K4213TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texan Eye, PA Ophthalmology Past Accepting new patients

Organizations & group practices 1

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700955689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13209 COUNTRY LAKE DR",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787321901",
            "telephone_number": "512-266-2322",
            "fax_number": "512-266-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12171 W PARMER LN",
            "address_2": "STE 201",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786137361",
            "telephone_number": "512-528-1144",
            "fax_number": "512-528-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "AMY",
        "middle_name": "NEUHOFF",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "K4213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "RAND",
            "middle_name": "NEUHOFF",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.