IndividualActive
Robert Wankum, M.D.
NPI 1225013121 · Ophthalmology Physician · Jefferson City, MO
Provider details
- NPI number
- 1225013121
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 35113 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1241 W Stadium Blvd
Jefferson City, MO 65109-6023
Phone: (573) 556-7709
Fax: (573) 556-1709
Street-level locationGet directions
Mailing address
Po Box 104240
Jefferson City, MO 65110-4240
Registry dates
- Enumerated
- 2005-12-13
- Last updated
- 2008-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.