Active NPI
Robert W Douville MD PA
- Ophthalmology Physician
- Key West, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- ROBERT W DOUVILLE MD PA
- Practice address
- 1111 12TH St
Suite 107
Key West, FL 33040-4088 - Phone
- (305) 294-8494
- NPI assigned
- Jun 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert Douville, MD
- Title
- Owner
- Phone
- (305) 294-8494
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
1111 12TH St
Suite 107
Key West, FL 33040-4088
Mailing address
1111 12TH St
Suite 107
Key West, FL 33040-4088
Phone (305) 294-8494
Other names 1
- KEY WEST EYE CLINIC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Key West Eye Clinic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ophthalmology Physician
- Key West, FL
- NPI 1023121944
Locations
1111 12th St
Ste 107B
Key West, FL 33040
Phone (305) 294-8494
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Key West, FL
- NPI 1992741110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1398038400000",
"number": "1891736526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 12TH ST",
"address_2": "SUITE 107",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330404088",
"telephone_number": "305-294-8494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 12TH ST",
"address_2": "SUITE 107",
"city": "KEY WEST",
"state": "FL",
"postal_code": "330404088",
"telephone_number": "305-294-8494"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT W DOUVILLE MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-10",
"last_updated": "2014-04-21",
"status": "A",
"authorized_official_last_name": "DOUVILLE",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "305-294-8494",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "KEY WEST EYE CLINIC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Key West, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.