Robert Michael Prince, O.D.

Primary specialty

Pediatric OptometristTaxonomy code 152WP0200X

License

5947TG Issued in TX

Practice address

109 Medical Park LN
Huntsville, TX 77340-4977

Phone

(936) 291-8282

Fax

(936) 291-9863

NPI assigned

Aug 3, 2006

Last updated

Dec 9, 2008By the provider in NPPES

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

Other identifiers 1

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

Specialty

Optometry

Education

State University of New York - State College Optometry, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

20 20 Icare, PLLCGroup PAC ID 0244665727, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• 20 20 Icare, PLLC

  dba 20/20 iCare

  • Optometrist
  • Killeen, TX
  • NPI 1871146415
  Medicare reassignment Care Compare group
• Larry Wilkinson

  dba Vision Trends Eye Care

  • Optometrist
  • Rosenberg, TX
  • NPI 1689765414
  NPD (past)
• Stephen H Means O D & Associates

  dba Huntsville Vision Center

  • Optometrist
  • Huntsville, TX
  • NPI 1063624112

  Pediatrics

  NPD (past)
• Waco Vision Center, PLLC

  • Optometrist
  • Waco, TX
  • NPI 1245695972
  NPD (past)

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

{
    "created_epoch": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228780800000",
    "number": "1821006164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MEDICAL PARK LN",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404977",
            "telephone_number": "936-291-8282",
            "fax_number": "936-291-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 MEDICAL PARK LN",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773404977",
            "telephone_number": "936-291-8282",
            "fax_number": "936-291-9863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2008-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "TX",
            "license": "5947TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "645287164",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Plus Care, PA
• Sharmila Pokharel, NP
• Polysom Services
• Praxair Healthcare Services, Inc
• David A Prier, M.D.
• Jeffrey Leon Pruski, D.C.
• Roanne Maree Pueyo, PHARMD
• Pulse Physician Organization PLLC
• Push Medical Services
• Push Medical Services

• Pediatric Optometrist in Huntsville, TX
• Providers in Huntsville, TX by specialty
• Pediatric Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.