Individual provider Active NPI

Robert Andrew Riggle, OD

  • Optometrist
  • Valparaiso, IN
National Provider Identifier
1720126048
Registry record updated Dec 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002382A Issued in IN
Practice address
2106 N Calumet Ave
Valparaiso, IN 46838
Phone
(219) 464-8200
Fax
(219) 531-6804
NPI assigned
Feb 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 18002382A IN Primary

Addresses

Primary practice location

2106 N Calumet Ave
Valparaiso, IN 46838

Mailing address

4707 Rutland Rd
Valparaiso, IN 46383
Phone (219) 462-6791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20040528000139 IN Practitioner - Optometry 8921089541 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Myeyedr Optometry of Indiana LLCGroup PAC ID 5496091316, 82 clinicians

Practice addresses (Care Compare)

2106 Calumet Ave
Valparaiso, IN 46383-2708
Phone (219) 464-8200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18002382AINMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of Indiana, LLC Optometrist Current Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince May 13, 2019 Accepting new patients
Myeyedr Optometry of Indiana, LLC Optometrist CurrentSince May 13, 2019 Accepting new patients

Locations

528 Indian Boundary Rd
Chesterton, IN 46304
Phone (219) 250-2470

1184 N Main St
Crown Point, IN 46307
Phone (219) 226-9571

9760 Lantern Rd
Fishers, IN 46037
Phone (317) 577-9200

422 Perry St
La Porte, IN 46350
Phone (219) 325-0404

279 W 80th Pl
Merrillville, IN 46410
Phone (219) 738-2180

6097 US Highway 6
Portage, IN 46368
Phone (219) 730-4559

2106 Calumet Ave
Valparaiso, IN 46383
Phone (219) 464-8200

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228694400000",
    "number": "1720126048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4707 RUTLAND RD",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "46383",
            "telephone_number": "219-462-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 N CALUMET AVE",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "46838",
            "telephone_number": "219-464-8200",
            "fax_number": "219-531-6804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIGGLE",
        "first_name": "ROBERT",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002382A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.