Individual provider Active NPI

Robert S Felker, O.D.

  • Optometrist
  • Sikeston, MO
National Provider Identifier
1881744969
Registry record updated Jan 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
T02554 Issued in MO
Practice address
808 E Wakefield Ave
Sikeston, MO 63801-5147
Phone
(573) 472-2900
Fax
(573) 471-8384
NPI assigned
Jan 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X T02554 MO Primary

Addresses

Primary practice location

808 E Wakefield Ave
Sikeston, MO 63801-5147

Mailing address

808 E Wakefield Ave
Sikeston, MO 63801-5147
Phone (573) 472-2900

Other identifiers 2

IdentifierTypeStateIssuer
57815OtherMOANTHEM/BCBS
311867717MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20040412000845 MO Practitioner - Optometry 1254325475 Practice locations: Sikeston, MO

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Brost & Strohmeyer Family Eye Care PC Optometrist Past Accepting new patients
Brost & Associates Family Eye Care PC Optometrist PastSince Jul 1, 1996 Accepting new patients

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, 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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1881744969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 E WAKEFIELD AVE",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015147",
            "telephone_number": "573-472-2900",
            "fax_number": "573-471-8384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 E WAKEFIELD AVE",
            "city": "SIKESTON",
            "state": "MO",
            "postal_code": "638015147",
            "telephone_number": "573-472-2900",
            "fax_number": "573-471-8384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELKER",
        "first_name": "ROBERT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM/BCBS",
            "identifier": "57815",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "311867717",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sikeston, MO

Sources for this page

Verify at the official NPI Registry.