Robert Edward Dister, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8706T Issued in CA

Practice address

University of California Berkeley School of Optometry
Minor Hall (Mc2020)
Berkeley, CA 94720-2020

Phone

(510) 643-2999

Fax

(510) 643-5109

NPI assigned

Feb 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881729069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF CALIFORNIA BERKELEY SCHOOL OF OPTOMETRY",
            "address_2": "MINOR HALL (MC2020)",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947202020",
            "telephone_number": "510-643-2999",
            "fax_number": "510-643-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNIVERSITY OF CALIFORNIA BERKELEY SCHOOL OF OPTOMETRY",
            "address_2": "MINOR HALL (MC2020)",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947202020",
            "telephone_number": "510-643-2999",
            "fax_number": "510-643-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISTER",
        "first_name": "ROBERT",
        "middle_name": "EDWARD",
        "name_prefix": "Prof.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "8706T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0087060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Dinglasan
• Vivian Dinh
• Catherine Direen
• Donald J Dirocco, D.D.S
• Julia Unaloto Diskin
• Michele Ditomas, M.D.
• Patricia G Ditton, PH.D.
• Susan Dix Lyons
• Laura Dixon, ATC
• Ethan DO, DDS

• Optometrist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.