Lee William Robertson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

628 Issued in NV

Practice address

204 W Spotswood Trail
Elkton Eyecare
Elkton, VA 22827

Phone

(540) 298-1671

Fax

(540) 298-1464

NPI assigned

Oct 8, 2008

Last updated

Dec 23, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Optometry

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Elkton Eyecare LLC

  • Eyewear Supplier
  • Elkton, VA
  • NPI 1306126743
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324598400000",
    "number": "1215188255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 W SPOTSWOOD TRAIL",
            "address_2": "ELKTON EYECARE",
            "city": "ELKTON",
            "state": "VA",
            "postal_code": "22827",
            "telephone_number": "540-298-1671",
            "fax_number": "540-298-1464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 W SPOTSWOOD TRAIL",
            "address_2": "ELKTON EYECARE",
            "city": "ELKTON",
            "state": "VA",
            "postal_code": "22827",
            "telephone_number": "540-298-1671",
            "fax_number": "540-298-1464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "LEE",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-08",
        "last_updated": "2011-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NV",
            "license": "628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark W Prager, D.O
• Taylor K Pumphrey, PTA
• Mark M Rau, PT, MPT
• Anne Riggleman, PTA
• Kelly Ritchie
• Rockingham Memorial Hospital (East Rockingham DME)
• Tara T Seay, FNP-C
• Alannah Seidler, DPT
• Sentara RMH Medical Center (RMH East Rockingham DME)
• Laura Wilkerson Shifflett, NP

• Optometrist in Elkton, VA
• Providers in Elkton, VA by specialty
• Optometrist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; 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.