Individual provider Active NPI

Robert Houghteling

  • Optometrist
  • Kingsland, GA
National Provider Identifier
1831257047
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
GA001500 Issued in GA
Practice address
1601 Ga Highway 40 E Ste N
Kingsland, GA 31548-6501
Phone
(912) 729-8300
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X GA001500 GA Primary

Addresses

Primary practice location

1601 Ga Highway 40 E Ste N
Kingsland, GA 31548-6501

Mailing address

1601 Ga Highway 40 E Ste N
Kingsland, GA 31548-6501

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20120810000579 GA Practitioner - Optometry 1759537483 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1601 Hwy 40 E
Suite N
Kingsland, GA 31548-6501
Phone (912) 729-8300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
GA001500GAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Houghteling, O.D., P.C. Optometrist CurrentSince Oct 1, 1997 Accepting new patients
Luxottica of America Inc PastSince Oct 1, 1997 Accepting new patients
Luxottica of America Inc PastSince Nov 30, 2025 Accepting new patients

Locations

1601 Highway 40 E
Ste N
Kingsland, GA 31548
Phone (912) 264-7635

Organizations & group practices 3

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1831257047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 GA HIGHWAY 40 E STE N",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 GA HIGHWAY 40 E STE N",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486501",
            "telephone_number": "912-729-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUGHTELING",
        "first_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "GA001500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsland, GA

Sources for this page

Verify at the official NPI Registry.