Kirk Stephen Roberts, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OP7041T Issued in CA

Practice address

3456 W Orange Ave Ste C
Anaheim, CA 92804-6810

Phone

(714) 801-2210

NPI assigned

Apr 6, 2006

Last updated

Mar 7, 2023By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

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.

• Bich Chau Ngoc Tran

  • Optometrist
  • Laguna Hills, CA
  • NPI 1740792241
  NPD (past)

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1548222169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3456 W ORANGE AVE STE C",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046810",
            "telephone_number": "714-801-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3456 W ORANGE AVE STE C",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928046810",
            "telephone_number": "714-801-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KIRK",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2023-03-07",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OP7041T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0175870001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert E. Berger D.D.S., Corporation (Berger Orthodontics)
• Robert J Marriott Medical Corp
• Robert Y. Go, DDS, Inc. (Go Family Dental)
• Diane Weil Roberts, PPS
• Kierra Maxine Roberts
• Shanell Roberts
• Callie Robinson
• Jasmine Marie Robinson
• Jillmarie Robinson, M.S.
• Krystina Robinson

• Optometrist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.