Individual provider Active NPI

Robert W Ekin, O.D.

  • Optometrist
  • Hamilton, OH
National Provider Identifier
1891809703
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4835 / T1700 Issued in OH
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

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201110001205 CO Practitioner - Optometry 9537579172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4835 / T1700OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.