Spencer Allen Robertson, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1195 Issued in NV

Practice address

65 N Taylor St
Fallon, NV 89406-2750

Phone

(775) 423-8024

NPI assigned

Mar 18, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Optometry

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fallon Tribal Health CenterGroup PAC ID 0042399578, 12 clinicians

Robertson and Koenig LTDGroup PAC ID 5193616480, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fallon Tribal Health Center

  • Clinic/Center
  • Fallon, NV
  • NPI 1023057478

  TX

  Medicare reassignment Care Compare group NPD
• Robertson & Koenig, LTD

  • Optometrist
  • Fernley, NV
  • NPI 1699745059
  Medicare reassignment Care Compare group NPD
• Robertson & Koenig, LTD

  • Optometrist
  • Yerington, NV
  • NPI 1215129069
  NPD
• Robertson & Koenig,LTD

  • Optometrist
  • Dayton, NV
  • NPI 1255226072
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1003675489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4989 RIVERS EDGE DR",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894061202",
            "telephone_number": "775-427-6774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 N TAYLOR ST",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894062750",
            "telephone_number": "775-423-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "SPENCER",
        "middle_name": "ALLEN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "1195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250031640",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kay D Riehm, LCSW
• Brooke Riordan, FNP-C
• Nathan Ricardo Rios
• Katrina Roberts
• Robertson & Koenig LTD
• Christa Robinson, PA-C
• Karen Marie Rodeffer-Evans, MD
• Darin Matthew Rolfe, M.D.
• David Rooley
• Keith Roxo, MD

• Optometrist in Fallon, NV
• Providers in Fallon, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.