NPIMap

Organization Active NPI

Dr Robert D Head and Dr Jennifer L Head LLC Robert D Head Jr Sole MBR

  • Optometrist
  • Lawton, OK
National Provider Identifier
1730498890
Registry record updated Oct 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1049 Issued in OK
Legal business name
DR ROBERT D HEAD AND DR JENNIFER L HEAD LLC ROBERT D HEAD JR SOLE MBR
Practice address
1302 SW C Ave
Lawton, OK 73501-4243
Phone
(580) 355-1298
Fax
(580) 581-7201
NPI assigned
Oct 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2010

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

Authorized official

Name
Dr. Robert Dale Head Jr., O.D.NPI 1356470975
Title
Owner/Optometrist
Phone
(580) 355-1298

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1049 OK Primary

Addresses

Primary practice location

1302 SW C Ave
Lawton, OK 73501-4243

Mailing address

1302 SW C Ave
Lawton, OK 73501-4243
Phone (580) 355-1298

National Provider Directory

National Provider Directory
Tax ID family
Dr Robert D Head and Dr Jennifer L Head LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1302 SW C Ave
Lawton, OK 73501
Phone (580) 355-1298

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286323200000",
    "number": "1730498890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1302 SW C AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735014243",
            "telephone_number": "580-355-1298",
            "fax_number": "580-581-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 SW C AVE",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735014243",
            "telephone_number": "580-355-1298",
            "fax_number": "580-581-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ROBERT D HEAD AND DR JENNIFER L HEAD LLC ROBERT D HEAD JR SOLE MBR",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-06",
        "last_updated": "2010-10-06",
        "status": "A",
        "authorized_official_last_name": "HEAD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "580-355-1298",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2010; 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.