Individual provider Active NPI

Erin Anderson Dalton, O.D.

  • Optometrist
  • West Linn, OR
National Provider Identifier
1881626000
Registry record updated Apr 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3380-ATI Issued in OR
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, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
500635089MedicaidOR
004264256MedicaidCT

Other names 1

  • Erin Jane Anderson Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110617000344 OR Practitioner - Optometry 5890791677 Reassigns benefits to 1 organization

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
Summit Eyecare LLCGroup PAC ID 5294972246, 3 clinicians

Practice addresses (Care Compare)

22400 Salamo Rd
Suite 100
West Linn, OR 97068-8269
Phone (503) 722-7737

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002680CTMDMental Health Counselor
3380-ATIORMDOptometrist
3380ATORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Kentana Inc Optometrist CurrentSince Jan 17, 2012 Accepting new patients
Silverton Eye Care LLC Optometrist PastSince Oct 9, 2014 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.

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

Verify at the official NPI Registry.