John D Roberts Mdpc
John D Roberts Mdpc is a healthcare organization registered as Eyewear Supplier in Eastman, GA, holding Type 2 (organization) NPI 1063694412 since 2007. The authorized official on file is Jennifer Roberts, Manager.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1063694412 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | John D Roberts Mdpc |
| Other name | <Unavail> |
| Practice address | 917 PLAZA AVE, Eastman, GA, 31023 |
| Phone | 4783749767 |
| Fax | 4783749769 |
| Enumeration date | 2007-11-28 |
| Last updated in NPPES | 2008-02-05 |
Authorized official
| Name | Jennifer Roberts |
|---|---|
| Title | Manager |
| Phone | 4783749767 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332H00000X | Eyewear Supplier | Primary | 047253 | GA |
Copy-ready billing details
Provider: John D Roberts Mdpc NPI: 1063694412 Taxonomy: 332H00000X (Eyewear Supplier) Address: 917 PLAZA AVE, Eastman, GA, 31023
Verify this record
Cross-check NPI 1063694412 against the authoritative CMS record: view John D Roberts Mdpc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is John D Roberts Mdpc?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-02-05.