Organization Active NPI

Tobin Optical Center

  • Eyewear Supplier
  • W Des Moines, IA
National Provider Identifier
1902960263
Registry record updated Feb 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
TOBIN OPTICAL CENTER
Practice address
3408 Woodland Avenue
Suite 504
W. Des Moines, IA 50266
Phone
(515) 267-1363
Fax
(515) 267-1540
NPI assigned
Dec 21, 2006
Last updated
Feb 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2008

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

Authorized official

Name
Dr. Robert F Tobin, M.D.NPI 1740259209
Title
Medical Director
Phone
(816) 279-1363

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X IA Primary

Addresses

Primary practice location

3408 Woodland Avenue
Suite 504
W. Des Moines, IA 50266

Mailing address

1407 Village Drive
Saint Joseph, MO 64506
Phone (816) 279-1363

Other identifiers 1

IdentifierTypeStateIssuer
3947192MedicaidIA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1902960263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1407 VILLAGE DRIVE",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "64506",
            "telephone_number": "816-279-1363",
            "fax_number": "816-233-8936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 WOODLAND AVENUE",
            "address_2": "SUITE 504",
            "city": "W. DES MOINES",
            "state": "IA",
            "postal_code": "50266",
            "telephone_number": "515-267-1363",
            "fax_number": "515-267-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOBIN OPTICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "TOBIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "816-279-1363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3947192",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in W Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2008; 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.