MR. ROBERT MARTIN MUSTARD OPTICIAN NPI 1629257522

NPI Information

  • NPI: 1629257522
  • Provider Name: MR. ROBERT MARTIN MUSTARD, OPTICIAN
  • Classification: Technician/Technologist - 156FX1800X
  • Specialization: Optician
  • Entity Type: Individual
  • Address: 210 1/2 NORTH STREET
    BLUEFIELD, WV
    ZIP 24701
  • Phone: (304) 887-4072

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NPI Details

MR. Robert Martin Mustard, OPTICIAN is an optician technician technologist in Bluefield, WV. The provider is opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy. MR. Robert Martin Mustard, OPTICIAN NPI is 1629257522. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

210 1/2 NORTH STREET
BLUEFIELD, WV
ZIP 24701
Phone: (304) 887-4072

The enumeration date for this NPI number is 10/26/2007 and was last updated on 10/26/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1156FX1800XTechnician/TechnologistOptician1101002699VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13810009447MEDICAIDWEST VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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