Individual provider Active NPI

Robin Mundh, O.D

  • Optometrist
  • Irving, TX
National Provider Identifier
1801268560
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
8799 Issued in TX
Practice address
2626 North Belt Line Rd
America's Best Grande Center
Irving, TX 75062
Phone
(469) 276-2311
NPI assigned
Oct 21, 2015
Last updated
May 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 8799 TX Primary

Addresses

Primary practice location

2626 North Belt Line Rd
America's Best Grande Center
Irving, TX 75062

Mailing address

2626 North Belt Line Rd
Irving, TX 75062
Phone (469) 276-2311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20260515003462 TX Practitioner - Optometry 2769951904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Texas Professional PLLCGroup PAC ID 4486985678, 228 clinicians

Practice addresses (Care Compare)

7728 Mid Cities Blvd
N Richland Hills, TX 76180-4621
Phone (817) 281-3386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8799TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
National Vision, Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1801268560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 NORTH BELT LINE RD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75062",
            "telephone_number": "469-276-2311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 NORTH BELT LINE RD",
            "address_2": "AMERICA'S BEST GRANDE CENTER",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75062",
            "telephone_number": "469-276-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDH",
        "first_name": "ROBIN",
        "name_prefix": "Miss",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-21",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.