Active NPI
Robert A Poole, O.D.
- Optometrist
- Belfast, ME
National Provider Identifier
1942244637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT828
- Practice address
- 158 Northport Ave
Belfast, ME 04915-6060 - Phone
- (207) 338-2571
- Fax
- (207) 338-3810
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT828 | ME | Primary |
Addresses
Primary practice location
158 Northport Ave
Belfast, ME 04915-6060
Mailing address
158 Northport Ave
Belfast, ME 04915-6060
Phone (207) 338-2571
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 118130000 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT828 | ME | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294876800000",
"number": "1942244637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "158 NORTHPORT AVE",
"city": "BELFAST",
"state": "ME",
"postal_code": "049156060",
"telephone_number": "207-338-2571",
"fax_number": "207-338-3810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158 NORTHPORT AVE",
"city": "BELFAST",
"state": "ME",
"postal_code": "049156060",
"telephone_number": "207-338-2571",
"fax_number": "207-338-3810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOLE",
"first_name": "ROBERT",
"middle_name": "A",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2011-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ME",
"license": "OPT828",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "118130000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Belfast, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.