Individual provider Active NPI

George L. Roberts, O.D.

  • Corneal and Contact Management Optometrist
  • Schuylkill Haven, PA
National Provider Identifier
1831179175
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
OEG000046 Issued in PA
Practice address
100 E. Main Street
Schuylkill Haven, PA 17972
Phone
(570) 385-2345
Fax
(570) 385-2345
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X OEG000046 PA Primary

Addresses

Primary practice location

100 E. Main Street
Schuylkill Haven, PA 17972

Mailing address

100 E Main St
Schuylkill Haven, PA 17972-1677
Phone (570) 385-2345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110207000352 PA Practitioner - Optometry 9830212174 Receives reassigned benefits from 1 practitioner
Practice locations: Schuylkill Haven, PA
O20100930082939 PA DME Supplier - Physician - Optometrist 7911026323 Practice locations: Schuylkill Haven, PA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1976
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

100 E Main St
Schuylkill Haven, PA 17972-1677
Phone (570) 385-2345

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
George L. Roberts Current Accepting new patients

Practitioners & affiliated clinicians

Practitioners 1

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

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1831179175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E MAIN ST",
            "city": "SCHUYLKILL HAVEN",
            "state": "PA",
            "postal_code": "179721677",
            "telephone_number": "570-385-2345",
            "fax_number": "570-385-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E. MAIN STREET",
            "city": "SCHUYLKILL HAVEN",
            "state": "PA",
            "postal_code": "17972",
            "telephone_number": "570-385-2345",
            "fax_number": "570-385-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "GEORGE",
        "middle_name": "L.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "PA",
            "license": "OEG000046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schuylkill Haven, PA

Sources for this page

Verify at the official NPI Registry.