Active NPI
Robert Boyd Lewis IV, O.D.
- Optometrist
- Tuskegee, AL
National Provider Identifier
1780806653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8776 TPA
- Practice address
- 2400 Hospital Road (115-S)
Cavhcs Eye Clinic
Tuskegee, AL 36083-5001 - Phone
- (334) 727-0550
- Fax
- (334) 724-6812
- NPI assigned
- May 2, 2007
- Last updated
- Jul 18, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 8776 TPA | CA | Primary |
Addresses
Primary practice location
2400 Hospital Road (115-S)
Cavhcs Eye Clinic
Tuskegee, AL 36083-5001
Mailing address
9488 Winfield Place
Montgomery, AL 36117-5126
Phone (334) 727-0550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8776 TPA | CA | MD | Optometrist |
| 8776 | CA | MD | Audiologist-Hearing Aid Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184716800000",
"number": "1780806653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9488 WINFIELD PLACE",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361175126",
"telephone_number": "334-727-0550",
"fax_number": "334-724-6812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 HOSPITAL ROAD (115-S)",
"address_2": "CAVHCS EYE CLINIC",
"city": "TUSKEGEE",
"state": "AL",
"postal_code": "360835001",
"telephone_number": "334-727-0550",
"fax_number": "334-724-6812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "ROBERT",
"middle_name": "BOYD",
"name_prefix": "Dr.",
"name_suffix": "IV",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "8776 TPA",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tuskegee, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.