Active NPI
Steve Roberts, O.D.
- Optometrist
- Fort Smith, AR
National Provider Identifier
1982705919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2166
- Practice address
- 4220 Jenny Lind Rd
Fort Smith, AR 72901-7660 - Phone
- (479) 646-5323
- NPI assigned
- Sep 25, 2006
- Last updated
- Aug 26, 2013
- Sex
- Male
- Sole proprietor
- Yes
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 | 2166 | AR | Primary |
Addresses
Primary practice location
4220 Jenny Lind Rd
Fort Smith, AR 72901-7660
Mailing address
4220 Jenny Lind Rd
Fort Smith, AR 72901-7660
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410000069 | Other | AR | RAILROAD MEDICARE (PALMETTO) |
| 105755722 | Medicaid | AR |
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 |
|---|---|---|---|
| 2166 | AR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cate Eye Care Associates, P.a. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- Fort Smith, AR
- NPI 1891961355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377475200000",
"number": "1982705919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4220 JENNY LIND RD",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729017660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4220 JENNY LIND RD",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729017660",
"telephone_number": "479-646-5323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "STEVE",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-25",
"last_updated": "2013-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AR",
"license": "2166",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE (PALMETTO)",
"identifier": "410000069",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105755722",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.