Individual provider Active NPI

Robert C Bevington, OD

  • Optometrist
  • Akron, OH
National Provider Identifier
1881725323
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34597896 Issued in OH
Practice address
3235 Manchester Rd
Suite 1
Akron, OH 44319
Phone
(330) 644-7138
Fax
(330) 645-1990
NPI assigned
Mar 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 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 34597896 OH Primary

Addresses

Primary practice location

3235 Manchester Rd
Suite 1
Akron, OH 44319

Mailing address

3235 Manchester Rd
Suite 1
Akron, OH 44319
Phone (330) 923-8786

Other identifiers 2

IdentifierTypeStateIssuer
0442408MedicaidOH
000000207317OtherOHANTHEM BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20120725001000 OH Practitioner - Optometry 9032375696 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34597896OHMDOptometrist
3459OHMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Eye Consultants Ohio, Inc Optometrist CurrentSince Nov 17, 2024 Accepting new patients
Midwest Eye Consultants Ohio, Inc Optometrist CurrentSince Nov 17, 2024 Accepting new patients
R Timothy Miller OD Optometrist CurrentSince Jun 18, 2012 Accepting new patients
Midwest Eye Consultants Ohio, Inc Optometrist Current Accepting new patients
Midwest Eye Consultants Ohio, Inc Optometrist Past Accepting new patients

Locations

1558 Akron Peninsula Rd
Akron, OH 44313
Phone (330) 922-0828

3235 Manchester Rd
Coventry Township, OH 44319
Phone (330) 644-0350

3235 Manchester Rd
Ste 1
Coventry Township, OH 44319
Phone (330) 644-7138

3235 Manchester Rd
Ste I
Coventry Township, OH 44319
Phone (330) 644-7138

2740 Navarre Ave
Oregon, OH 43616
Phone (419) 697-3616

1814 W Laskey Rd
Toledo, OH 43613

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881725323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 MANCHESTER RD",
            "address_2": "SUITE 1",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44319",
            "telephone_number": "330-923-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3235 MANCHESTER RD",
            "address_2": "SUITE 1",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44319",
            "telephone_number": "330-644-7138",
            "fax_number": "330-645-1990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVINGTON",
        "first_name": "ROBERT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "34597896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0442408",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "000000207317",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.