Active NPI
Erin Anderson Dalton, O.D.
- Optometrist
- West Linn, OR
National Provider Identifier
1881626000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3380-ATI
- Practice address
- 22400 Salamo Rd
Ste. 100
West Linn, OR 97068-8269 - Phone
- (503) 722-7737
- Fax
- (503) 722-4152
- NPI assigned
- Jul 7, 2006
- Last updated
- Apr 11, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3380AT | OR | |
| Optometrist | 152W00000X | 002680 | CT | |
| Optometrist | 152W00000X | 3380-ATI | OR | Primary |
Addresses
Primary practice location
22400 Salamo Rd
Ste. 100
West Linn, OR 97068-8269
Mailing address
22400 Salamo Rd
Ste. 100
West Linn, OR 97068-8269
Phone (503) 722-7737
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500635089 | Medicaid | OR | |
| 004264256 | Medicaid | CT |
Other names 1
- Erin Jane Anderson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- State University of New York - State College Optometry, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
22400 Salamo Rd
Suite 100
West Linn, OR 97068-8269
Phone (503) 722-7737
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002680 | CT | MD | Mental Health Counselor |
| 3380-ATI | OR | MD | Optometrist |
| 3380AT | OR | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kentana Inc | Optometrist | Current | Accepting new patients |
| Silverton Eye Care LLC | Optometrist | Past | Accepting new patients |
| Silverton Eyecare | Optometrist | Past | Accepting new patients |
Locations
22400 Salamo Rd
Ste 100
West Linn, OR 97068
Phone (503) 722-7737
Organizations & group practices 4
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.
-
- Optometrist
- Silverton, OR
- NPI 1003215807
-
- Optometrist
- Silverton, OR
- NPI 1336570423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397174400000",
"number": "1881626000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22400 SALAMO RD",
"address_2": "STE. 100",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970688269",
"telephone_number": "503-722-7737",
"fax_number": "503-722-4152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22400 SALAMO RD",
"address_2": "STE. 100",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970688269",
"telephone_number": "503-722-7737",
"fax_number": "503-722-4152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALTON",
"first_name": "ERIN",
"middle_name": "ANDERSON",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-07",
"last_updated": "2014-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "3380AT",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CT",
"license": "002680",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OR",
"license": "3380-ATI",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500635089",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004264256",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ERIN",
"last_name": "ANDERSON",
"middle_name": "JANE",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Linn, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; 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.