Individual provider Active NPI

Robert Neill Tower, MD

  • Ophthalmology Physician
  • Portland, OR
National Provider Identifier
1063512101
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD24417 Issued in OR
Practice address
1211 NW Glisan St
Suite 201
Portland, OR 97209-3054
Phone
(503) 227-5075
Fax
(503) 241-2793
NPI assigned
Sep 25, 2006
Last updated
Jul 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD00045917 WA
Ophthalmology Physician 207W00000X MD24417 OR Primary

Addresses

Primary practice location

1211 NW Glisan St
Suite 201
Portland, OR 97209-3054

Mailing address

1211 NW Glisan St
Suite 201
Portland, OR 97209-3054
Phone (503) 227-5075

Other identifiers 1

IdentifierTypeStateIssuer
8355141MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060106000365 OR Practitioner - Ophthalmology 3476574583 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Southwestern Medical School at Dallas, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1211 NW Glisan St
Suite 201
Portland, OR 97209-3054
Phone (503) 227-5075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00045917WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tower Oculofacial Plastic Surgery, PC CurrentSince Sep 1, 2012 Accepting new patients
Plastic Eye Surgery Associates, PLLC Past Accepting new patients
Portland Oculoplastics, PC Ophthalmology PastSince Aug 15, 2021 Accepting new patients
Tower Oculofacial Plastic Surgery, PC Ophthalmology Past Accepting new patients

Locations

1211 NW Glisan St
Ste 201
Portland, OR 97209
Phone (503) 227-5075

Networks

  • WA PPO C-SNP
  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCHJCD

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1063512101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 NW GLISAN ST",
            "address_2": "SUITE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093054",
            "telephone_number": "503-227-5075",
            "fax_number": "503-241-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 NW GLISAN ST",
            "address_2": "SUITE 201",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972093054",
            "telephone_number": "503-227-5075",
            "fax_number": "503-241-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOWER",
        "first_name": "ROBERT",
        "middle_name": "NEILL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD00045917",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD24417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8355141",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.