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1134122260

NPI Code Detail

MEDICARE: DR. ROBERT BRIAN YEAMAN O.D.

MEDICARE: DR. ROBERT BRIAN YEAMAN O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	4171TG	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	DA7004	OTHER	TX	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	5443297	OTHER	TX	CCN NETWORK
3	907420	OTHER	TX	BLOCK VISION
4	010794060	OTHER	TX	VISION SERVICE PLAN
5	80884Q	OTHER	TX	BLUE CROSS BLUE SHIELD
6	010794060	OTHER	TX	PRIVATE HEALTHCARE SYSTEM
8	12254	OTHER	TX	OPTICARE
9	1686057	OTHER	TX	UNITED HEALTHCARE
10	2090059	OTHER	TX	FIRST HEALTH NETWORK

General Provider Information

NPI Number	:	1134122260
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT BRIAN YEAMAN O.D.

Provider Business Mailing Address
First Line	:	4000 E US HIGHWAY 377
Second Line	:
City	:	GRANBURY
State	:	TX
Zip	:	76049-7432
Country	:	US
Telephone Number	:	817-573-7153
Fax Number	:	817-573-5640

Provider Business Practice Location Address
First Line	:	4000 E US HIGHWAY 377
Second Line	:
City	:	GRANBURY
State	:	TX
Zip	:	76049-7432
Country	:	US
Telephone Number	:	817-573-7153
Fax Number	:	817-573-5640

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	03/27/2025

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Directions to “ DR. ROBERT BRIAN YEAMAN O.D.” Practice Location

Language	Start Address	Practice Location

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