Individual provider Active NPI

Robert L Owens II, OD, FAAO

  • Optometrist
  • New Holland, PA
National Provider Identifier
1871599068
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001333 Issued in PA
Practice address
654 E Main St
New Holland, PA 17557-1410
Phone
(717) 354-2251
Fax
(717) 355-2138
NPI assigned
Jun 22, 2005
Reactivated
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001333 PA Primary

Addresses

Primary practice location

654 E Main St
New Holland, PA 17557-1410

Mailing address

654 E Main St
New Holland, PA 17557-1410
Phone (717) 354-2251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20100430000017 PA Practitioner - Optometry 7911034574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Pennsylvania Professional IncGroup PAC ID 7719218593, 80 clinicians

Practice addresses (Care Compare)

406 E Main St
New Holland, PA 17557-1404
Phone (717) 354-2251

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Pennsylvania Professional Inc Optometrist CurrentSince Apr 26, 2024 Accepting new patients
Aeg Pennsylvania Professional, Inc Optometrist Past Accepting new patients

Locations

93 W Devon Dr
Ste 101
Exton, PA 19341
Phone (610) 363-8960

187 Scharberry Ln
Mars, PA 16046
Phone (724) 591-5501

406 E Main St
New Holland, PA 17557
Phone (717) 354-2251

Organizations & group practices 2

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272931200000",
    "number": "1871599068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 E MAIN ST",
            "city": "NEW HOLLAND",
            "state": "PA",
            "postal_code": "175571410",
            "telephone_number": "717-354-2251",
            "fax_number": "717-355-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 E MAIN ST",
            "city": "NEW HOLLAND",
            "state": "PA",
            "postal_code": "175571410",
            "telephone_number": "717-354-2251",
            "fax_number": "717-355-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWENS",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "OD, FAAO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2010-05-04",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Holland, PA

Sources for this page

Verify at the official NPI Registry.