Active NPI
Robert W Ekin, O.D.
- Optometrist
- Hamilton, OH
National Provider Identifier
1891809703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4835 / T1700
- Practice address
- 3201 Princeton Rd
Hamilton, OH 45011-5332 - Phone
- (513) 869-8419
- Fax
- (513) 869-8421
- NPI assigned
- Aug 18, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 4835 / T1700 | OH | Primary |
Addresses
Primary practice location
3201 Princeton Rd
Hamilton, OH 45011-5332
Mailing address
30 Tyler CT
Springboro, OH 45066-8300
Phone (937) 885-0605
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201110001205 | CO | Practitioner - Optometry | 9537579172 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4835 / T1700 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. James D. Egbert, Optometrist, Inc. | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Beavercreek, OH
- NPI 1174649743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891809703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 TYLER CT",
"city": "SPRINGBORO",
"state": "OH",
"postal_code": "450668300",
"telephone_number": "937-885-0605",
"fax_number": "513-869-8421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 PRINCETON RD",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450115332",
"telephone_number": "513-869-8419",
"fax_number": "513-869-8421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EKIN",
"first_name": "ROBERT",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "4835 / T1700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hamilton, OH
Sources for this page
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.