Organization Active NPI

Robert M Easton Jr OD PA

  • Optometrist
  • Oakland Park, FL
National Provider Identifier
1932459419
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC001736 Issued in FL
Legal business name
ROBERT M EASTON JR OD PA
Practice address
1560 East Oakland Park Blvd
Oakland Park, FL 33334-4425
Phone
(954) 564-2025
Fax
(954) 564-3869
NPI assigned
Sep 12, 2012
Last updated
Sep 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Authorized official

Name
Dr. Robert Morrell Easton Jr., O.D., F.A.A.O.NPI 1134121247
Title
Optometric Physician
Phone
(954) 564-2025

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC001736 FL Primary
Corneal and Contact Management Optometrist 152WC0802X OPC001736 FL

Addresses

Primary practice location

1560 East Oakland Park Blvd
Oakland Park, FL 33334-4425

Mailing address

1560 East Oakland Park Blvd
Oakland Park, FL 33334-4425
Phone (954) 564-2025

Other identifiers 2

IdentifierTypeStateIssuer
289OtherFLAMERICAN BOARD OF OPTOMETRY
OPC001736OtherFLFLORIDA BOARD CERTIFIED OPTOMETRIST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120925000090 FL Part B Supplier - Clinic/Group Practice 5294853321 Receives reassigned benefits from 1 practitioner
Practice locations: Oakland Park, FL

National Provider Directory

National Provider Directory

Locations

1560 E Oakland Park Blvd
Oakland Park, FL 33334
Phone (954) 564-2025

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": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1932459419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 EAST OAKLAND PARK BLVD",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333344425",
            "telephone_number": "954-564-2025",
            "fax_number": "954-564-3869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 EAST OAKLAND PARK BLVD",
            "city": "OAKLAND PARK",
            "state": "FL",
            "postal_code": "333344425",
            "telephone_number": "954-564-2025",
            "fax_number": "954-564-3869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT M EASTON JR OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "EASTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "MORRELL",
        "authorized_official_title_or_position": "OPTOMETRIC PHYSICIAN",
        "authorized_official_telephone_number": "954-564-2025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D., F.A.A.O."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC001736",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC001736",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BOARD OF OPTOMETRY",
            "identifier": "289",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BOARD CERTIFIED OPTOMETRIST",
            "identifier": "OPC001736",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.

Verify at the official NPI Registry.