Aric D Robertson OD PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD60167669 Issued in WA

Legal business name

ARIC D ROBERTSON OD PLLC

Practice address

1321 N Columbia Center Blvd
Kennewick, WA 99336-7689

Phone

(509) 735-3128

Fax

(509) 736-2367

NPI assigned

Aug 3, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Aric David Robertson, ODNPI 1831403773

Title

Optometrist

Phone

(231) 855-2132

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aric David Robertson, O.D

  • Optometrist
  • Kennewick, WA
  • NPI 1831403773
  Medicare reassignment NPD Authorized official
• Brandon Call

  • Optometrist
  • Pasco, WA
  • NPI 1497319008
  NPD
• Jonathan Jay Walker, O.D.

  • Optometrist
  • Connell, WA
  • NPI 1548642622
  NPD
• Ronald Philip Delano, O.D.

  • Corneal and Contact Management Optometrist
  • Yakima, WA
  • NPI 1649226374
  NPD (past)
• Geoffrey A Bullock, OD

  • Optometrist
  • Huntsville, AL
  • NPI 1942252259
  NPD (past)

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1093029928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 S CASCADE PL",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993374549",
            "telephone_number": "231-855-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 N COLUMBIA CENTER BLVD",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367689",
            "telephone_number": "509-735-3128",
            "fax_number": "509-736-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARIC D ROBERTSON OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "ARIC",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "231-855-2132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60167669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Apria Healthcare LLC
• Stefanie Archer, LMHC
• Danielle Dawn Arevalo
• Mayra Arias Farias, SUDPT
• Erica V. Arias, PA-C
• Fareed Ahmed Arif, M.D.
• Jasmine Arizpe Valdez
• Michelle Armenta, RN
• Sarah Armistead, LMP
• Kassidy N Arnold, B.S.

• All providers in Kennewick, WA
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.