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

Dr. Larry E Robertson, OD

Individual provider Optometrist · NPI 1013022664

Dr. Larry E Robertson, OD is an Optometrist in Portland, Oregon. Licensed in Oregon and Washington. Registered with an NPI since 2006.

Licensed in
OR, WA
In the registry since
2006
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

12100 SE Stevens Ct Ste 106
Portland, OR 97266-8707
Phone: (503) 653-1442
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1362ATI (OR)
Optometrist Taxonomy 152W00000X · Licence 1179 (WA)

Record details

NPI number1013022664
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 21, 2006
Last updated in NPPESJuly 8, 2007

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