Provider Demographics
NPI:1619016383
Name:SLINKER, ROBERT D (OD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:D
Last Name:SLINKER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:R
Other - Middle Name:DEREK
Other - Last Name:SLINKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3041 S KIMBROUGH AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65807-4856
Mailing Address - Country:US
Mailing Address - Phone:417-470-3937
Mailing Address - Fax:417-470-3938
Practice Address - Street 1:3041 S KIMBROUGH AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807-4856
Practice Address - Country:US
Practice Address - Phone:417-470-3937
Practice Address - Fax:417-470-3938
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOTO2895152W00000X
MOT02895152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO312903016Medicaid
AR81606OtherARK BLUE SHIELD
MO108441OtherMO BLUE SHIELD
MO261903230Medicare PIN
U02076Medicare UPIN
AR81606OtherARK BLUE SHIELD