Robert Elliott, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1760T Issued in OR

Practice address

9710 SE Washington St Ste D
Portland, OR 97216-8407

Phone

(503) 257-7770

NPI assigned

Sep 25, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• America'S Best Contacts & Eyeglasses

  • Eyewear Supplier
  • Portland, OR
  • NPI 1780616490
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467553388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 NW LOVEJOY ST",
            "address_2": "#717",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972092734",
            "telephone_number": "503-319-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9710 SE WASHINGTON ST STE D",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972168407",
            "telephone_number": "503-257-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLIOTT",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1760T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine D. Elliott, NURSE PRACTITIONER
• Kim Michele Elliott, MS, CCC-SLP
• Leah Elliott
• Matthew Aaron Elliott, L.AC
• Omolola Elliott, LCSW
• Rosemary Elliott
• Stephanie Christine Elliott, CPM
• Tara Elliott
• Timothy J Elliott, DMD
• Alexandria Ellis, CSWA

• Optometrist in Portland, OR
• Providers in Portland, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.