Provider Demographics
NPI:1528044807
Name:DANIEL A. ROBISON, O.D., LLC
Entity Type:Organization
Organization Name:DANIEL A. ROBISON, O.D., LLC
Other - Org Name:CASCADIA EYE CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:ROBISON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:503-635-8819
Mailing Address - Street 1:17777 LWR BOONES FRY RD
Mailing Address - Street 2:
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-5237
Mailing Address - Country:US
Mailing Address - Phone:503-635-8819
Mailing Address - Fax:503-635-1512
Practice Address - Street 1:17777 LWR BOONES FRY RD
Practice Address - Street 2:
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-5237
Practice Address - Country:US
Practice Address - Phone:503-635-8819
Practice Address - Fax:503-635-1512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-19
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty