NPIMap

Organization Active NPI

Daniel a. Robison, O.D., LLC

  • Optometrist
  • Lake Oswego, OR
National Provider Identifier
1528044807
Registry record updated Apr 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DANIEL A. ROBISON, O.D., LLC
Practice address
17777 LWR Boones Fry Rd
Lake Oswego, OR 97035-5237
Phone
(503) 635-8819
Fax
(503) 635-1512
NPI assigned
Dec 19, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2021

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

Authorized official

Name
Dr. Daniel Allen Robison, O.D.NPI 1487641080
Title
President
Phone
(503) 635-8819

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

17777 LWR Boones Fry Rd
Lake Oswego, OR 97035-5237

Mailing address

17777 LWR Boones Fry Rd
Lake Oswego, OR 97035-5237
Phone (503) 635-8819

Other names 2

  • Cascadia Eye Care Doing business as
  • Daniel A. Robison, O.D., P.C. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111229000030 OR Part B Supplier - Clinic/Group Practice 5193991917 Receives reassigned benefits from 5 practitioners
Practice locations: Lake Oswego, OR

National Provider Directory

National Provider Directory

Locations

17777 Lower Boones Ferry Rd
#R
Lake Oswego, OR 97035

17777 Lower Boones Ferry Rd
Lake Oswego, OR 97035
Phone (503) 635-8819

17777 Lower Boones Ferry Rd
Ste B
Lake Oswego, OR 97035

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1528044807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17777 LWR BOONES FRY RD",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970355237",
            "telephone_number": "503-635-8819",
            "fax_number": "503-635-1512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17777 LWR BOONES FRY RD",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970355237",
            "telephone_number": "503-635-8819",
            "fax_number": "503-635-1512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL A. ROBISON, O.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-19",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "ROBISON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-635-8819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascadia Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cascadia Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Daniel A. Robison, O.D., P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.