Robert D Rolen III, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1795ATI Issued in OR

Practice address

115 W Hermiston Ave Ste 130
Hermiston, OR 97838-1711

Phone

(541) 567-1837

NPI assigned

Aug 29, 2005

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1902899651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 W HERMISTON AVE STE 130",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978381711",
            "telephone_number": "541-567-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 W HERMISTON AVE STE 130",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978381711",
            "telephone_number": "541-567-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLEN",
        "first_name": "ROBERT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-29",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "1795ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150839",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BXBS",
            "identifier": "48207",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert D Rolen III OD LLC
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• Shirley Ann Robins, PC
• Jamie Elizabeth Robinson, MD
• Debora Garcia Rodriguez, QMHA
• Alicia Romero
• Rose Arbor Inc
• Abbey Lawren Royer, RN
• Iris Lianet Ruelas, CHW
• Ann Marie Rust, MD

• Optometrist in Hermiston, OR
• Providers in Hermiston, OR by specialty
• Optometrist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.