Individual provider Active NPI

Robert William Edler Jr., M.D., J.D.

  • Ophthalmology Physician
  • New Port Richey, FL
National Provider Identifier
1770708166
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
01025135A Issued in IN
Practice address
2020 Seven Springs Blvd
New Port Richey, FL 34655-3933
Phone
(727) 372-1311
NPI assigned
Apr 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 01025135A IN Primary
Legal Medicine (M.D./D.O.) Physician 209800000X 01025135A IN

Addresses

Primary practice location

2020 Seven Springs Blvd
New Port Richey, FL 34655-3933

Mailing address

26244 Sword Dancer Dr
Wesley Chapel, FL 33544-1586
Phone (317) 752-2659

Other identifiers 1

IdentifierTypeStateIssuer
ME142048OtherFLFLORIDA PHYSICIAN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201013002774 FL Practitioner - Ophthalmology 2860715976 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Larry M. Perich Dopa Ophthalmology CurrentSince Jul 11, 2020 Accepting new patients

Locations

2020 Seven Springs Blvd
New Pt Richey, FL 34655
Phone (727) 372-1311

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1770708166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26244 SWORD DANCER DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335441586",
            "telephone_number": "317-752-2659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 SEVEN SPRINGS BLVD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346553933",
            "telephone_number": "727-372-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDLER",
        "first_name": "ROBERT",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D., J.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01025135A",
            "primary": true
        },
        {
            "code": "209800000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "IN",
            "license": "01025135A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA PHYSICIAN LICENSE",
            "identifier": "ME142048",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.