NPIMap

Organization Active NPI

Robert Iverson OD PC

  • Optometrist
  • Tucson, AZ
National Provider Identifier
1861965220
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ROBERT IVERSON OD PC
Practice address
6159 E Broadway Blvd
Tucson, AZ 85711-4028
Phone
(520) 790-2020
NPI assigned
Jan 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Authorized official

Name
Dr. Robert Hartley Iverson, OD
Title
Owner
Phone
(520) 204-7700

Specialties & licenses 1

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

Addresses

Primary practice location

6159 E Broadway Blvd
Tucson, AZ 85711-4028

Mailing address

430 E Honey Bee Preserve Way
Oro Valley, AZ 85755-5995
Phone (520) 818-3654

Other names 1

  • Fashion Eye Center Doing business as

National Provider Directory

National Provider Directory

Locations

7111 N Oracle Rd
Tucson, AZ 85704

6159 E Broadway Blvd
Tucson, AZ 85711
Phone (520) 790-2020

Practitioners & affiliated clinicians

Practitioners 5

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": "1546992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1861965220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 E HONEY BEE PRESERVE WAY",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857555995",
            "telephone_number": "520-818-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6159 E BROADWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857114028",
            "telephone_number": "520-790-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT IVERSON OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-09",
        "status": "A",
        "authorized_official_last_name": "IVERSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "HARTLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-204-7700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fashion Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.