Active NPI
Robert O Vore, OD
- Optometrist
- Plymouth, IN
National Provider Identifier
1881604957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1331
- Practice address
- 12921 Plymouth Goshen TRL
Plymouth, IN 46563-7916 - Phone
- (574) 936-3212
- Fax
- (574) 936-3481
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1331 | IN | Primary |
Addresses
Primary practice location
12921 Plymouth Goshen TRL
Plymouth, IN 46563-7916
Mailing address
12921 Plymouth Goshen TRL
Plymouth, IN 46563-7916
Phone (574) 936-3212
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1331 | IN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260835200000",
"number": "1881604957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12921 PLYMOUTH GOSHEN TRL",
"city": "PLYMOUTH",
"state": "IN",
"postal_code": "465637916",
"telephone_number": "574-936-3212",
"fax_number": "574-936-3481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12921 PLYMOUTH GOSHEN TRL",
"city": "PLYMOUTH",
"state": "IN",
"postal_code": "465637916",
"telephone_number": "574-936-3212",
"fax_number": "574-936-3481"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VORE",
"first_name": "ROBERT",
"middle_name": "O",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2009-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "1331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.