Bob Gene Roberts, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2165 Issued in AR

Practice address

960 A S Mount Olive St
Siloam Springs, AR 72761-0188

Phone

(479) 524-5161

Fax

(479) 524-8046

NPI assigned

Jun 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Roberts-Philpott Eye Associates, PA

  • Optometrist
  • Siloam Springs, AR
  • NPI 1578688636
  NPD Authorized official

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218585600000",
    "number": "1801838073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "960 A S MOUNT OLIVE ST",
            "address_2": "P.O. BOX 188",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727610188",
            "telephone_number": "479-524-5161",
            "fax_number": "479-524-8046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 A S MOUNT OLIVE ST",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727610188",
            "telephone_number": "479-524-5161",
            "fax_number": "479-524-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "BOB",
        "middle_name": "GENE",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AR",
            "license": "2165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• River Dental Siloam Springs, PLLC
• Wyatt Van Robbins
• Taylor Roberson, MED, EDS, LPC
• Roberts-Philpott Eye Associates, PA
• Abby Roberts, FNP-C
• Laura Rochelle Roberts, DDS
• Warren Brent Roby, LAC
• Judith Romero, OTR/L
• Ronald Syler DDS PA
• Carey Louise Rotramel, LPC, LMFT

• Optometrist in Siloam Springs, AR
• Providers in Siloam Springs, AR by specialty
• Optometrist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.