Individual provider Active NPI

Jeffrey Brent Robertson, MD

  • Ophthalmology Physician
  • Dallas, TX
National Provider Identifier
1841386570
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
L1988 Issued in TX
Practice address
1114 N Bishop Ave
Dallas, TX 75208-4113
Phone
(214) 416-8100
Fax
(214) 416-8199
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X L1988 TX Primary

Addresses

Primary practice location

1114 N Bishop Ave
Dallas, TX 75208-4113

Mailing address

1114 N Bishop Ave
Dallas, TX 75208-4113
Phone (214) 416-8100

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050201000292 TX Practitioner - Ophthalmology 0648220236

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L1988TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Cliff Ophthalmology, P.a. Ophthalmology CurrentSince Feb 13, 2015 Accepting new patients
Mercy Family Clinic Past Accepting new patients
Eyecare Associates of Texas, PA PastSince Jan 1, 2009 Accepting new patients

Locations

1114 N Bishop Ave
Dallas, TX 75208
Phone (214) 416-8100

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1841386570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 N BISHOP AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084113",
            "telephone_number": "214-416-8100",
            "fax_number": "214-416-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 N BISHOP AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752084113",
            "telephone_number": "214-416-8100",
            "fax_number": "214-416-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "JEFFREY",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "L1988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.