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

Dr. Robert Dougherty, OD

Individual provider Optometrist · NPI 1386326395

Dr. Robert Dougherty, OD is an Optometry in Berwick, Pennsylvania. Graduated from Pennsylvania College of Optometry in 2023, 3 years ago. Practices with Dr Sandra M Krokos and Thomas P Kislan PC, a 10-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
3
Trained at
Pennsylvania College of Optometry
Licensed in
PA
In the registry since
2023
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

126 W Frnt ST
Berwick, PA 18603-4702
Phone: (570) 752-7458
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OEG004062 (PA)

Record details

NPI number1386326395
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorNo
NPI enumeratedAugust 1, 2023
Last updated in NPPESAugust 1, 2023
Certification dateAugust 1, 2023
Mailing address21 Tiller Rd, Shavertown, PA 18708-9677

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPENNSYLVANIA COLLEGE OF OPTOMETRY
Graduated 2023 (3 years in practice)
Group practice Dr Sandra M Krokos And Thomas P Kislan Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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