Aric David Robertson, O.D

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD60167669 Issued in WA

Practice address

1321 N Columbia Center Blvd
Kennewick, WA 99336-7689

Phone

(509) 735-3022

NPI assigned

Aug 3, 2010

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 WA

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, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Pasco Eye Care PSGroup PAC ID 7113928102, 3 clinicians

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 and National Provider Directory roles.

• Aric D Robertson OD PLLC

  • Optometrist
  • Kennewick, WA
  • NPI 1093029928
  Medicare reassignment NPD Authorized official
• West Pasco Eye Care P.S.

  • Optometrist
  • Pasco, WA
  • NPI 1053408468
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281571200000",
    "number": "1831403773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 S CASCADE PL",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993374549",
            "telephone_number": "231-855-2132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1321 N COLUMBIA CENTER BLVD",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993367689",
            "telephone_number": "509-735-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "ARIC",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-03",
        "last_updated": "2010-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD60167669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kalie Marie Roberts, L.M.P.
• Lauren Marie Roberts
• Amy Robertshaw
• Ava Robertshaw
• Alesha Erin Robertson, BT
• Boyd Edward Robertson, O.D.
• Bruce Douglas Robertson, OD
• Conner Robertson
• Kari Dawn Robertson, PA-C
• Teresa R Robinson, DNP, APRN, PMHNP

• All providers in Kennewick, WA
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; 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.