Active NPI
Beverly K Robertson OD PC
- Optometrist
- Pittsburg, TX
National Provider Identifier
1912158759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2804TG
- Legal business name
- BEVERLY K ROBERTSON OD PC
- Practice address
- 135 Quitman St
Pittsburg, TX 75686-1359 - Phone
- (903) 856-2382
- NPI assigned
- Oct 9, 2008
- Last updated
- May 25, 2011
- 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
- Beverly Robertson Spearman, O.D.
- Title
- Owner
- Phone
- (903) 856-2055
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2804TG | TX | Primary |
Addresses
Primary practice location
135 Quitman St
Pittsburg, TX 75686-1359
Mailing address
135 Quitman St
Pittsburg, TX 75686-1359
Phone (903) 856-2382
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
135 Quitman St
Pittsburg, TX 75686
Phone (903) 856-2055
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Optometrist
- Pittsburg, TX
- NPI 1942514880
-
- Optometrist
- Pittsburg, TX
- NPI 1326020637
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306281600000",
"number": "1912158759",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 QUITMAN ST",
"city": "PITTSBURG",
"state": "TX",
"postal_code": "756861359",
"telephone_number": "903-856-2382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 QUITMAN ST",
"city": "PITTSBURG",
"state": "TX",
"postal_code": "756861359",
"telephone_number": "903-856-2382"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEVERLY K ROBERTSON OD PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-09",
"last_updated": "2011-05-25",
"status": "A",
"authorized_official_last_name": "SPEARMAN",
"authorized_official_first_name": "BEVERLY",
"authorized_official_middle_name": "ROBERTSON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "903-856-2055",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "2804TG",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.