Jeffrey Robertson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618000334 Issued in VA

Practice address

115 Coliseum Xing SPC 58
Hampton, VA 23666-5971

Phone

(757) 751-6236

Fax

(757) 838-1840

NPI assigned

Sep 14, 2005

Reactivated

Mar 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Schneider Eye Physicians PC

  • Ophthalmology Physician
  • Suffolk, VA
  • NPI 1548510589
  Medicare reassignment NPD
• Jeffrey Robertson

  • Optometrist
  • Suffolk, VA
  • NPI 1821327677
  NPD (past) Authorized official
• National Vision, Inc.

  • Optician
  • Hampton, VA
  • NPI 1659724201
  NPD (past)

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471737600000",
    "number": "1720073869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 WINTERVIEW DR",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234347669",
            "telephone_number": "757-539-0615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 COLISEUM XING SPC 58",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236665971",
            "telephone_number": "757-751-6236",
            "fax_number": "757-838-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "JEFFREY",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2016-08-21",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618000334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9204300",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joni Roberts, CRNA
• Kema N Roberts, PHARMD
• Laurin Roberts, PH.D.
• Syianne Roberts
• James Michael Robertson, CRNA
• Keegan Robertsonaggers, LCSW
• Susan Earline Robins, FNP
• Crystal Tuberville Robinson, PH.D.
• Donald Charles Robinson Jr., DDS
• Krista Robinson, DPT

• Optometrist in Hampton, VA
• Providers in Hampton, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.