Individual provider Active NPI

Elizabeth Dalesandro Robson, OD

  • Optometrist
  • Daphne, AL
National Provider Identifier
1861577470
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
ALS965TA532 Issued in AL
Practice address
27520 Hwy 98
Wal Mart Vision Center
Daphne, AL 36526-4812
Phone
(251) 626-8950
Fax
(251) 626-5896
NPI assigned
Oct 25, 2006
Last updated
Nov 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ALS965TA532 AL Primary

Addresses

Primary practice location

27520 Hwy 98
Wal Mart Vision Center
Daphne, AL 36526-4812

Mailing address

27520 Hwy 98
Wal Mart Vision Center
Daphne, AL 36526-4812
Phone (251) 626-8950

Other names 1

  • Mrs. Elizabeth Anne Dalesandro Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20221205002218 AL Practitioner - Optometry 0042689531 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University of Alabama School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

310 E Laurel Ave
Foley, AL 36535-2618
Phone (251) 210-3741

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ALS965TA532ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Optics of Life Limited Liability Company CurrentSince Jan 1, 2023 Accepting new patients
Elizabeth Robson OD, P.C. Optometrist CurrentSince Nov 11, 2022 Accepting new patients

Locations

27520 US Highway 98
Daphne, AL 36526
Phone (251) 626-5863

310 E Laurel Ave
Foley, AL 36535
Phone (251) 210-3741

Organizations & group practices 2

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1861577470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27520 HWY 98",
            "address_2": "WAL MART VISION CENTER",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264812",
            "telephone_number": "251-626-8950",
            "fax_number": "251-626-5896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27520 HWY 98",
            "address_2": "WAL MART VISION CENTER",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365264812",
            "telephone_number": "251-626-8950",
            "fax_number": "251-626-5896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBSON",
        "first_name": "ELIZABETH",
        "middle_name": "DALESANDRO",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "ALS965TA532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "DALESANDRO",
            "middle_name": "ANNE",
            "prefix": "MRS.",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Daphne, AL

Sources for this page

Verify at the official NPI Registry.