MR. JERRY D ROBERTS (NPI# 1215912464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215912464 |
| Entity Type | Individual |
| Full Name | MR. JERRY D ROBERTS |
| Credential | OD |
| Practice Address |
279 N Gardner St Scottsburg IN 47170 |
| Practice Telephone | 8127525106 |
| Practice Fax Number | 8127525132 |
| Mailing Telephone | 8127525106 |
| Mailing Fax Number | 8127525132 |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2008-11-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 18001504A | IN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SIHO | 005120 | 01 | |
| RR MEDICARE | 410010037 | 01 | |
| ANTHEM | 000000109053 | 01 | |
| IN | 100099460B | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629032768 | Jerry Ted Roberts | Optometrist | 1100 Stone Rd, Suite 2020, Kilgore, TX 75662-5482 | 2006-04-14 |
| 1629395405 | Jerry Thomas Roberts | Podiatrist | 117 Tradepark Dr, Somerset, KY 42503-3428 | 2010-05-03 |
| 1336274240 | Jerry D Roberts | Occupational Therapist | 205 N Tracy Ave, Bozeman, MT 59715-3564 | 2007-02-22 |
| 1093761884 | Jerry M. Roberts | Pediatrics | 4000 Shakerag Hl, Suite 201, Peachtree City, GA 30269-4047 | 2006-05-25 |
| 1033180336 | Jerry D Roberts | Optometrist | 507 E Cleveland Ave, Monett, MO 65708-1750 | 2006-01-27 |
| Street Address |
279 N GARDNER ST |
| City | SCOTTSBURG |
| State | IN |
| Zip Code | 47170 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750672911 | Louisville Optometric Centers, IIi Psc | Eyewear Supplier (Equipment, not the service) | 279 N Gardner St, Suite 2, Scottsburg, IN 47170-1322 | 2011-04-22 |
| 1992095012 | Louisville Optometric Centers, IIi Psc | Optometrist | 279 N Gardner St, Suite 2, Scottsburg, IN 47170-1322 | 2011-04-11 |
| 1215250584 | Downing Optometrist PC | Optometrist | 279 N Gardner St, Suite 2, Scottsburg, IN 47170-1322 | 2010-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962065565 | Mfdc of Indiana, Inc | Dentist | 1606 W Mcclain Ave, Scottsburg, IN 47170 | 2019-04-18 |
| 1003211392 | Forefront Dermatology, S.c. | Dermatology | 1473 N Gardner St Ste A, C/o Scott Memorial Hospital, Scottsburg, IN 47170 | 2014-10-29 |
| 1154750800 | Kimberly Burns | Occupational Therapy Assistant | 545 W. Moonglo Rd, Scottsburg, IN 47170 | 2013-11-04 |
| 1700127800 | Janet M Buhse Md PC | Family Medicine | 941 W Mcclain Ave Ste C, Scottsburg, IN 47170 | 2013-03-14 |
| 1972826402 | Harold H Rumley | Counselor | 75 North First Street, Scottsburg, IN 47170 | 2010-03-11 |
| 1245497213 | Samaritan Behavioral Healthcare | Counselor | 969 W Mcclain Ave, Suite B, Scottsburg, IN 47170 | 2008-05-19 |
| 1801061858 | Gardner Street Emergency Physicians | Emergency Medicine | 1451 N. Gardner Street, Scottsburg, IN 47170 | 2008-04-29 |
| 1689859621 | Samaritan Behavioral Healthcare | Counselor | 969 W. Mcclain Ave, Suite B, Scottsburg, IN 47170 | 2008-01-09 |
| 1760674998 | Darshana Patel | Internal Medicine | 1467 Scott Valley Dr, Scottsburg, IN 47170 | 2007-08-12 |
| 1669663977 | Wwindell Go Ellorimo | Physical Therapist | 545 Moonglo Rd, Scottsburg, IN 47170 | 2007-08-05 |
| Find all providers in zip 47170 | ||||
| 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 |
|---|---|---|---|---|
| 1033383872 | Eye Associates of Southern Indiana PC | Optometrist | 1356 N Gardner St, Scottsburg, IN 47170-7750 | 2008-04-14 |
| 1053387530 | Christopher Logan Stroud | Optometrist | 1220 W Mcclain Ave, Scottsburg, IN 47170-1167 | 2006-02-24 |
| 1285622571 | Don R Downing J D Roberts & D Barry Downing Ptrs | Optometrist | 279 N Gardner St Ste 2, Scottsburg, IN 47170-1322 | 2005-10-11 |
| 1992095012 | Louisville Optometric Centers, IIi Psc | Optometrist | 279 N Gardner St, Suite 2, Scottsburg, IN 47170-1322 | 2011-04-11 |
| 1215250584 | Downing Optometrist PC | Optometrist | 279 N Gardner St, Suite 2, Scottsburg, IN 47170-1322 | 2010-03-01 |
| 1730271255 | Polly Hendricks | Optometrist | 279 N Gardner St Ste 2, Scottsburg, IN 47170-1322 | 2006-09-29 |
| 1750490884 | Vana Howard Evans | Optometrist | 1618 W Mcclain Ave, Scottsburg, IN 47170-1161 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467066811 | Greenwood Vision Care LLC | Optometrist | 622 N Madison Ave Ste 9, Greenwood, IN 46142-4052 | 2020-09-03 |
| 1992319719 | Kaitlyn Renae Gibson | Optometrist | 13115 Wicker Ave Ste E, Cedar Lake, IN 46303-7400 | 2020-08-31 |
| 1194333260 | Kelly Ann Foster Lindgren | Optometrist | 1298 Us 31 N, Greenwood, IN 46142-4501 | 2020-07-15 |
| 1437774486 | Meret Thomas-huebner | Optometrist | 1160 W Michigan St Unit 100, Indianapolis, IN 46202-5209 | 2020-06-15 |
| 1164046967 | Dr Bennett LLC | Optometrist | 1850 E Dupont Rd, Fort Wayne, IN 46825-1581 | 2020-06-08 |
| 1316567134 | Phillip G Koultourides, O.d. P.C. | Optometrist | 210 Indianapolis Blvd, Suite B, Schererville, IN 46375 | 2020-04-22 |
| 1568091551 | Nitya Murthy | Optometrist | 3985 W 106th St Ste 120, Carmel, IN 46032-7779 | 2020-04-02 |
| 1801422381 | National Vision Inc | Optometrist | 14002 Hoard Dr Ste 1100, Noblesville, IN 46060-5661 | 2020-03-17 |
| 1417597402 | Duneland Family Eyecare LLC | Optometrist | 101 Beverly Dr Ste B, Chesterton, IN 46304-3471 | 2020-01-08 |
| 1689213365 | National Vision Inc | Optometrist | 2410 Laporte Ave Ste 130, Valparaiso, IN 46383-6969 | 2019-12-30 |
| Find all providers with the same taxonomy | ||||
| City | SCOTTSBURG |
| Zip Code | 47170 |
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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.