ROBERT A RIDDLE (NPI# 1093758146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093758146 |
| Entity Type | Individual |
| Full Name | ROBERT A RIDDLE |
| Credential | O.D. |
| Practice Address |
203 W Stoddard St Dexter MO 63841-1654 |
| Practice Telephone | 5736247775 |
| Practice Fax Number | 5736247775 |
| Mailing Telephone | 5736247775 |
| Mailing Fax Number | 5736247775 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2012-01-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | T02532 | MO | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | ADVANTRA FREEDOM | 509168 | 01 |
| MO | 312329907 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730615683 | Robert Riddle | Social Worker | 1239 Central Ave, Middletown, OH 45044-4103 | 2017-05-11 |
| Street Address |
203 W STODDARD ST |
| City | DEXTER |
| State | MO |
| Zip Code | 63841-1654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417558941 | Christa Renee Mcbroom | Pharmacist | 2025 Business Hwy 60w, Dexter, MO 63841 | 2020-11-02 |
| 1306230107 | David Mulcahy | Pharmacist | 904 West Business Hwy 60, Dexter, MO 63841 | 2015-03-19 |
| 1285038935 | Clearwater In-home Care, Inc. | Technician | 1525 Business Highway 60, Suite C, Dexter, MO 63841 | 2014-10-09 |
| 1720404064 | William Simmons | Pharmacist | 904 W Business Highway 60, Dexter, MO 63841 | 2014-03-11 |
| 1134498736 | Susan Caroline Jones | Physical Therapist | 913 West Business Hwy 60, Dexter, MO 63841 | 2011-12-28 |
| 1427350594 | Dexter Hospital LLC | Family Medicine | 2025 W Bus Hwy 60, Dexter, MO 63841 | 2010-11-23 |
| 1992028112 | Hilda Fuwell's Residential Care LLC | Clinic/Center | 900 South One Mile Road, Dexter, MO 63841 | 2010-03-02 |
| 1508197047 | Super D Drugs Acquisition Co | Durable Medical Equipment & Medical Supplies | 907 West Business Hwy. 60, Dexter, MO 63841 | 2010-01-22 |
| 1215262183 | Ozark Wellness & Athletic Club | Physical Therapist | 1521 W Bus. Hwy. 60, Dexter, MO 63841 | 2009-10-12 |
| 1225268618 | Practice Tee, LLC | Family Medicine | 1523 W Business Hwy 60, Dexter, MO 63841 | 2009-07-20 |
| Find all providers in zip 63841 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124275235 | Kathryn A. Mayberry | Optometrist | 812 N One Mile Rd, Dexter, MO 63841-1034 | 2008-08-20 |
| 1114189347 | Jennifer K Howard | Optometrist | 223 N Walnut St, Dexter, MO 63841-1767 | 2008-06-29 |
| 1437286747 | Vincent Harlon Coburn | Optometrist | 812b N One Mile Rd, Dexter, MO 63841-1034 | 2007-02-27 |
| 1053365536 | Dexter Family Eye Center PC | Optometrist | 3045 Baker Rd, Dexter, MI 48130-1126 | 2006-05-20 |
| 1407821432 | Dolly Ann Campbell | Optometrist | 1207 N One Mile Rd, Dexter, MO 63841-1041 | 2006-02-22 |
| 1558346155 | Renee Lynn Laliberte | Optometrist | 8089 Main St, Suite 1, Dexter, MI 48130-1079 | 2005-12-07 |
| 1558714840 | Jacob Heath | Optometrist | 1207 N One Mile Rd, Dexter, MO 63841-1041 | 2016-07-21 |
| 1790048619 | Brooke Williams | Optometrist | 1207 N One Mile Rd, Dexter, MO 63841-1041 | 2012-06-18 |
| 1053682849 | Vincent H Coburn Od PC | Optometrist | 812b N One Mile Rd, Dexter, MO 63841-1034 | 2012-01-25 |
| 1932263134 | Marion Eye Centers, Ltd. | Optometrist | 1207 N One Mile Rd, Dexter, MO 63841-1041 | 2006-12-21 |
| Find all providers in DEXTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.