Dortheanne J. Roberts, OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC4200 Issued in FL

Legal business name

DORTHEANNE J. ROBERTS, OD PA

Practice address

401 Bay St
Green Cove Springs, FL 32043-4109

Phone

(904) 529-9062

NPI assigned

Nov 21, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Dortheanne Joy Roberts, OD

Title

President

Phone

(904) 252-5426

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joanne Ford Reed, OD

  • Optometrist
  • St Augustine, FL
  • NPI 1700857158
  NPD (past)

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1942577879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1486 WATER PIPIT LN",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320037238",
            "telephone_number": "904-252-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BAY ST",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320434109",
            "telephone_number": "904-529-9062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORTHEANNE J. ROBERTS, OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-21",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "DORTHEANNE",
        "authorized_official_middle_name": "JOY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-252-5426",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Derenda
• Gretchen Dubrie Dettlinger, PMHNP-BC
• William F. Dewolf II, MD
• Diamond Alf LLC
• Dist School Board of Clay County
• Dreh Holdings LLC
• Dte Positive Solutions Counseling LLC
• Alyssa Durano
• Ekos Green Cove Springs PLLC
• Erin Lynn Engelage

• Optometrist in Green Cove Springs, FL
• Providers in Green Cove Springs, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.

Verify at the official NPI Registry.