Individual provider Active NPI

Robert Columbus

  • Optometrist
  • Wilkes Barre, PA
National Provider Identifier
1962695833
Registry record updated Aug 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG001371 Issued in PA
Practice address
344 Wilkes Barre Township Blvd
Wilkes Barre, PA 18702-6708
Phone
(570) 824-3500
NPI assigned
Aug 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001371 PA Primary

Addresses

Primary practice location

344 Wilkes Barre Township Blvd
Wilkes Barre, PA 18702-6708

Mailing address

344 Wilkes Barre Township Blvd
Wilkes Barre, PA 18702-6708

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

NPI Registry JSON

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187827200000",
    "number": "1962695833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 WILKES BARRE TOWNSHIP BLVD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187026708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 WILKES BARRE TOWNSHIP BLVD",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187026708",
            "telephone_number": "570-824-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLUMBUS",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-23",
        "last_updated": "2007-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG001371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilkes Barre, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2007; 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.