Individual provider Active NPI

Robert Douville, MD

  • Ophthalmology Physician
  • Key West, FL
National Provider Identifier
1992741110
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME30578 Issued in FL
Practice address
1111 12TH St
Suite 107
Key West, FL 33040-4088
Phone
(305) 294-8494
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME30578 FL Primary

Addresses

Primary practice location

1111 12TH St
Suite 107
Key West, FL 33040-4088

Mailing address

1111 12TH St
Suite 107
Key West, FL 33040-4088
Phone (305) 294-8494

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110310000470 FL Practitioner - Ophthalmology 4981886058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Miami, LM Miller School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1111 12TH St
Key West, FL 33040-4087
Phone (305) 294-8494

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Robert W Douville MD PA Ophthalmology CurrentSince Oct 16, 2010 Accepting new patients
Robert W Douville MD PA Ophthalmology PastSince Jul 1, 1977 Accepting new patients

Locations

1111 12th St
Ste 107B
Key West, FL 33040
Phone (305) 294-8494

1111 12th St
Ste 107
Key West, FL 33040
Phone (305) 294-8494

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398643200000",
    "number": "1992741110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 12TH ST",
            "address_2": "SUITE 107",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404088",
            "telephone_number": "305-294-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 12TH ST",
            "address_2": "SUITE 107",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330404088",
            "telephone_number": "305-294-8494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUVILLE",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2014-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME30578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Key West, FL

Sources for this page

Verify at the official NPI Registry.