Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alise Nichole Roberson, OD

Individual provider Optometrist · NPI 1871956136

Alise Nichole Roberson, OD is an Optometry in Portland, Oregon. Qualified in 2016, 10 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
10
Licensed in
OR
In the registry since
2016
Specialties on file
2
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

3600 N Interstate Ave
Portland, OR 97227-1106
Phone: (503) 249-3429
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 — (503) 220-8262

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 3671ATI (OR)
Optometrist Taxonomy 152W00000X · Licence NOT YET ISSUED (OR)

Record details

NPI number1871956136
Entity typeIndividual (Type 1)
GenderFemale
Credentials OD
Sole proprietorNo
NPI enumeratedApril 3, 2016
Last updated in NPPESFebruary 4, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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