Robert Ray Perkins, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1246T Issued in OR

Practice address

415 Washington St
The Dalles, OR 97058-2215

Phone

(541) 296-2911

Fax

(541) 296-2224

NPI assigned

Dec 6, 2005

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 OR

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 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: robertperkins@direct.revolutionehr.com

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.

• DRS Mauck & Perkins Opt PC

  • Optometrist
  • The Dalles, OR
  • NPI 1407841406
  Medicare reassignment NPD

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1164406740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 883",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970580883",
            "telephone_number": "541-296-2911",
            "fax_number": "541-296-2224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 WASHINGTON ST",
            "city": "THE DALLES",
            "state": "OR",
            "postal_code": "970582215",
            "telephone_number": "541-296-2911",
            "fax_number": "541-296-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "ROBERT",
        "middle_name": "RAY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1246T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "236075",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerkula J.T Pehlke
• Dave James Peisley
• Nicolette Marie Penley, LMT, CA
• Analene Joanne Pentopoulos, M.D.
• Lizeth Yoselin Perez Ochoa
• David S. Perry, D.D.S.
• Peter A Peruzzo, MD
• Elizabeth M Pesco
• Cheyenne Peterson
• James Patrick Petrusich, DOCTOR OF AUDIOLOGY

• Optometrist in The Dalles, OR
• Providers in The Dalles, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.