Active NPI
Tobin Optical Center
- Eyewear Supplier
- W Des Moines, IA
National Provider Identifier
1902960263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- 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, 2008
- 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
- Dr. Robert F Tobin, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3947192 | Medicaid | IA |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Ophthalmology Physician
- Saint Joseph, MO
- NPI 1740259209
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.