Individual provider Active NPI

Colby D Roberts, OD

  • Optometrist
  • Elk City, OK
National Provider Identifier
1972852820
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2746 Issued in OK
Practice address
800 N Main St
Elk City, OK 73644-3414
Phone
(580) 225-1980
Fax
(580) 225-8648
NPI assigned
Sep 6, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2746 OK Primary

Addresses

Primary practice location

800 N Main St
Elk City, OK 73644-3414

Mailing address

800 N Main St
Elk City, OK 73644-3414
Phone (580) 225-1980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20121010000122 OK Practitioner - Optometry 5698924595 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare of Western Oklahoma PCGroup PAC ID 4789833682, 2 clinicians

Practice addresses (Care Compare)

800 N Main St
Elk City, OK 73644-3414
Phone (580) 225-1980

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery90

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2746OKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare of Western Oklahoma PC Optometrist CurrentSince Aug 3, 2012 Accepting new patients

Locations

800 N Main St
Elk City, OK 73644
Phone (580) 225-1978

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1972852820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N MAIN ST",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736443414",
            "telephone_number": "580-225-1980",
            "fax_number": "580-225-8648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N MAIN ST",
            "city": "ELK CITY",
            "state": "OK",
            "postal_code": "736443414",
            "telephone_number": "580-225-1980",
            "fax_number": "580-225-8648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "COLBY",
        "middle_name": "D",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-06",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk City, OK

Sources for this page

Verify at the official NPI Registry.