CONNER ROBERTSON – Optometrist, NPI 1316517105

CONNER ROBERTSON is a healthcare provider. based in Kennewick, Washington. specializing in OPTOMETRY. They hold a License No. OD61169272 (WA). The NPI Number for CONNER ROBERTSON is 1316517105

Main info

Male
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
CONNER ROBERTSON
NPI
1316517105
Phone
(509) 783-0667
Address
7903 W GRANDRIDGE BLVD STE A
Enumeration Date
25 June 2021
Last Update Date
25 June 2021

Doctor Profile

Medical School Name
PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
5097830667
Graduation Year
2021 (5 years ago)
PAC ID
8224433693
Group Practice PAC ID
4880688423
Professional Enrollment ID
I20210823003001
Address ID
WA993367827KE7903XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,098 OPTOMETRY in WA

Provider Addresses for CONNER ROBERTSON

  • 7903 W GRANDRIDGE BLVD STE A

    KENNEWICK, WA 993367827

    Phone: (509) 783-0667

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $482.

Total Amount is formed as General ($482) + Research ($0) + Ownership ($0) = $482.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($392).

Total Amount

$482

General + Research + Ownership

Payments

15

Total payment records

General Amount

$482

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-08-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210823003001IOptometryWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes4032$0
92004New patient complete exam of visual system1717$0
92014Established patient complete exam of visual system1616$0
92250Photography of the retina1111$0
View full utilization report →

Insurance plans in this area (ZIP 99336)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880688423View full group profile
NameSpecialtyState
O P T O M E T R YWA
O P T O M E T R YWA
O P T O M E T R YWA

Reviews

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Frequently asked questions

Can I cross-check CONNER ROBERTSON using NPI 1316517105?
NPI 1316517105 belongs to CONNER ROBERTSON; compare other details if you need extra assurance.
Would CONNER ROBERTSON appear as active to a payer?
You can treat CONNER ROBERTSON as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with CONNER ROBERTSON?
CONNER ROBERTSON's record emphasizes Optometrist. Clinical services aligned with this taxonomy classification.
Is CONNER ROBERTSON associated with Kennewick?
Public fields place CONNER ROBERTSON around Kennewick, Washington. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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