Active NPI
Robert C Hall, L.D.O.
- Optician
- Rockaway, NJ
National Provider Identifier
1982748869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- D-1355
- Practice address
- 343 Mount Hope Ave
Suite 2
Rockaway, NJ 07866-1644 - Phone
- (973) 366-1181
- Fax
- (973) 366-7866
- NPI assigned
- Feb 16, 2007
- 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 |
|---|---|---|---|---|
| Optician | 156FX1800X | D-1355 | NJ | Primary |
Addresses
Primary practice location
343 Mount Hope Ave
Suite 2
Rockaway, NJ 07866-1644
Mailing address
343 Mount Hope Ave
Suite 2
Rockaway, NJ 07866-1644
Phone (973) 366-1181
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D-1355 | NJ | MD | Optician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982748869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "343 MOUNT HOPE AVE",
"address_2": "SUITE 2",
"city": "ROCKAWAY",
"state": "NJ",
"postal_code": "078661644",
"telephone_number": "973-366-1181",
"fax_number": "973-366-7866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "343 MOUNT HOPE AVE",
"address_2": "SUITE 2",
"city": "ROCKAWAY",
"state": "NJ",
"postal_code": "078661644",
"telephone_number": "973-366-1181",
"fax_number": "973-366-7866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "ROBERT",
"middle_name": "C",
"name_prefix": "Mr.",
"credential": "L.D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NJ",
"license": "D-1355",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockaway, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.