NPIMap

Organization Active NPI

Dr. Thomas H. Robertson LTD.

  • Optometrist
  • Petersburg, VA
National Provider Identifier
1821327040
Registry record updated Dec 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0601000214 Issued in VA
Legal business name
DR. THOMAS H. ROBERTSON LTD.
Practice address
1980 S Sycamore St
Petersburg, VA 23805-2729
Phone
(804) 862-9673
NPI assigned
Dec 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2009

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

Authorized official

Name
Mr. Douglas Powell Fisher Jr.NPI 1760536429
Title
Manager
Phone
(804) 862-9673

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 0601000214 VA Primary

Addresses

Primary practice location

1980 S Sycamore St
Petersburg, VA 23805-2729

Mailing address

1980 S Sycamore St
Petersburg, VA 23805-2729
Phone (804) 862-9673

National Provider Directory

National Provider Directory

Locations

1980 S Sycamore St
Petersburg, VA 23805
Phone (804) 861-3005

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1261008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1821327040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1980 S SYCAMORE ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052729",
            "telephone_number": "804-862-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1980 S SYCAMORE ST",
            "city": "PETERSBURG",
            "state": "VA",
            "postal_code": "238052729",
            "telephone_number": "804-862-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. THOMAS H. ROBERTSON LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-17",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "POWELL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "804-862-9673",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0601000214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petersburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; 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.