DR. BRUCE DOUGLAS ROBERTSON (OD) – Optometrist, NPI 1871647016

DR. BRUCE DOUGLAS ROBERTSON (OD) is a healthcare provider. based in Richland, Washington. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 3228 (WA). The NPI Number for DR. BRUCE DOUGLAS ROBERTSON (OD) is 1871647016

Main info

Male
31 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRUCE DOUGLAS ROBERTSON (OD)
NPI
1871647016
Phone
(509) 627-0562
Address
1020 KAMBETH CT
Enumeration Date
23 January 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5097830667
Graduation Year
1995 (31 years ago)
PAC ID
5496749046
Group Practice PAC ID
4880688423
Professional Enrollment ID
I20120131000398
Address ID
WA993367827KE7903XBLVD401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,098 OPTOMETRY in WA

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Provider Addresses for DR. BRUCE DOUGLAS ROBERTSON (OD)

  • 1020, Kambeth Court, Brookshire Estates, Queensgate, Richland, Benton County, Washington, 99352, United States

    RICHLAND, WA 993527792

    Phone: (509) 627-0562

    Fax: (509) 735-7981

    Type: Mailing

  • West Grandridge Boulevard, Kennewick, Benton County, Washington, 99338, United States

    KENNEWICK, WA 993367827

    Phone: (509) 783-0667

    Fax: (509) 735-7981

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $488.

Total Amount is formed as General ($488) + Research ($0) + Ownership ($0) = $488.

Last reported payment date: 2024-10-09 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($349).

Total Amount

$488

General + Research + Ownership

Payments

12

Total payment records

General Amount

$488

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-09

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2012-01-31

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
I20120131000398IOptometryWATBD

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
92250Photography of the retina283253$0
92014Established patient complete exam of visual system187187$0
99213Established patient office or other outpatient visit, 20-29 minutes12886$0
66984Removal of cataract with insertion of prosthetic lens3224$0
92004New patient complete exam of visual system3030$0
View full utilization report →

Insurance plans in this area (ZIP 99352)

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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

How is DR. BRUCE DOUGLAS ROBERTSON (OD) identified in CMS data?
CMS-hosted NPPES data lists DR. BRUCE DOUGLAS ROBERTSON (OD) with NPI 1871647016.
Does the file indicate DR. BRUCE DOUGLAS ROBERTSON (OD) is practicing under active NPI?
Directory data currently reports DR. BRUCE DOUGLAS ROBERTSON (OD) as active.
What is DR. BRUCE DOUGLAS ROBERTSON (OD) best known for clinically?
Directory data describes DR. BRUCE DOUGLAS ROBERTSON (OD) with Optometrist. Clinical services aligned with this taxonomy classification.
Does DR. BRUCE DOUGLAS ROBERTSON (OD) list a practice location?
Patients near Richland, Washington may find DR. BRUCE DOUGLAS ROBERTSON (OD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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