Provider Demographics
NPI:1689783268
Name:TESTER, ROBERT AARON (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:AARON
Last Name:TESTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34719 6TH AVE S
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-8714
Mailing Address - Country:US
Mailing Address - Phone:206-212-2100
Mailing Address - Fax:206-212-2194
Practice Address - Street 1:34719 6TH AVE S
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-8714
Practice Address - Country:US
Practice Address - Phone:206-212-2100
Practice Address - Fax:206-212-2194
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00043755207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0059460OtherL&I GROUP NUMBER
WA91162803298003A009OtherTRICARE/WPS FEDERAL WAY #
WAP00122266OtherRAILROAD MEDICARE IND #
WA2955TEOtherREGENCE FEDERAL WAY RYDER
WA91162803298002A010OtherTRICARE/WPS AUBURN
WA91162803298116A007OtherTRICARE/WPS BURIEN #
WA0185602OtherL&I INDIVIDUAL NUMBER
WA911628035OtherBLUE CROSS
WACD6646OtherRAILROAD MEDICARE GROUP #
WA0870427OtherAETNA GROUP NUMBER
WAEV8144OtherREGENCE GROUP NUMBER
WA2159TEOtherREGENCE AUBURN RYDER #
WA8391112OtherCHPW GAU INDIVIDUAL#-DSHS
WA8391112Medicaid
WA8938252OtherCRIME VICTIMS INDIVIDUAL#
WA8232TEOtherREGENCE BURIEN RYDER #
WAEV8144OtherREGENCE GROUP NUMBER
WA8391112OtherCHPW GAU INDIVIDUAL#-DSHS
WA911628035OtherBLUE CROSS
WA8938252OtherCRIME VICTIMS INDIVIDUAL#