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

Dr. Kellen Robertson, OD

Individual provider Optometrist · NPI 1285099093

Dr. Kellen Robertson, OD is an Optometry in Spokane, Washington. Graduated from Pacific University - College of Optometry in 2016, 10 years ago. Practices with Eyes for Life P S, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
10
Trained at
Pacific University - College of Optometry
Licensed in
WA
In the registry since
2015
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

412 E 30th Ave
Spokane, WA 99203-2556
Phone: (509) 448-7300
Fax: (509) 448-7382
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1295 Driscoll Ridge Rd, Troy, ID 83871-9603 — (208) 669-0015

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OD60649654 (WA)

Record details

NPI number1285099093
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedDecember 21, 2015
Last updated in NPPESSeptember 17, 2021
Certification dateSeptember 17, 2021
Mailing address412 E 30th Ave, Spokane, WA 99203-2556

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2016 (10 years in practice)
Group practice Eyes For Life P S — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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