Individual provider Active NPI

David A Drotzmann, OD

  • Optometrist
  • Hermiston, OR
National Provider Identifier
1407848476
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2709T Issued in OR
Practice address
1060 W Elm Ave
Suite 135
Hermiston, OR 97838-2721
Phone
(541) 567-6623
Fax
(541) 564-0277
NPI assigned
Aug 16, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2709T OR Primary

Addresses

Primary practice location

1060 W Elm Ave
Suite 135
Hermiston, OR 97838-2721

Mailing address

1060 W Elm Ave
Suite 135
Hermiston, OR 97838-2721
Phone (541) 567-6623

Other identifiers 1

IdentifierTypeStateIssuer
295499MedicaidOR

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040403000076 OR Practitioner - Optometry 9436141975 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Oregon Professional LLCGroup PAC ID 5092156364, 11 clinicians
David a Drotzmann OD PCGroup PAC ID 5193717635, 3 clinicians

Practice addresses (Care Compare)

1160 W Elm Ave
Hermiston, OR 97838-6933
Phone (541) 567-6623

Merit-based Incentive Payment System (MIPS)

Final score
7.5 of 100Reported as individual
Quality
15
Improvement activities
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2709TORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
David a Drotzmann OD PC Optometrist CurrentSince Jan 1, 2004 Accepting new patients
Vision Pendleton LLC Optometrist Past Accepting new patients
Clear Chiropractic Solutions Inc Past Accepting new patients

Locations

1060 W Elm Ave
Ste 135
Hermiston, OR 97838
Phone (541) 567-6623

1160 W Elm Ave
Hermiston, OR 97838
Phone (541) 567-6623

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": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1407848476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 W ELM AVE",
            "address_2": "SUITE 135",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978382721",
            "telephone_number": "541-567-6623",
            "fax_number": "541-564-0277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 W ELM AVE",
            "address_2": "SUITE 135",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978382721",
            "telephone_number": "541-567-6623",
            "fax_number": "541-564-0277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DROTZMANN",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2709T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "295499",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermiston, OR

Sources for this page

Verify at the official NPI Registry.