Organization Active NPI

Robert a Poole OD

  • Optometrist
  • Rockland, ME
National Provider Identifier
1770761900
Registry record updated Feb 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT828 Issued in ME
Legal business name
ROBERT A POOLE OD
Practice address
96 Maverick St
Rockland, ME 04841-2440
Phone
(207) 596-6074
Fax
(207) 596-0833
NPI assigned
Feb 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2008

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

Authorized official

Name
Robert Alden Poole, O.D.
Title
Optometrist
Phone
(207) 338-2571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT828 ME Primary

Addresses

Primary practice location

96 Maverick St
Rockland, ME 04841-2440

Mailing address

96 Maverick St
Rockland, ME 04841-2440
Phone (207) 596-6074

National Provider Directory

National Provider Directory

Locations

96 Maverick St
Rockland, ME 04841
Phone (207) 301-5715

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1770761900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 MAVERICK ST",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412440",
            "telephone_number": "207-596-6074",
            "fax_number": "207-596-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 MAVERICK ST",
            "city": "ROCKLAND",
            "state": "ME",
            "postal_code": "048412440",
            "telephone_number": "207-596-6074",
            "fax_number": "207-596-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT A POOLE OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "POOLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALDEN",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "207-338-2571",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.