ALISE NICHOLE ROBERSON O.D.
NPI 1871956136
Optometrist in Portland, OR

Active since April 03, 2016PECOS EnrolledAccepts Medicare Assignment
3600 N INTERSTATE AVE, PORTLAND, OR 97227(503) 249-3429 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 4, 2022, Mar 17, 2018, Jun 11, 2017 and 1 more (4 updates tracked since 2016).

About Alise Nichole Roberson O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALISE NICHOLE ROBERSON O.D. (NPI 1871956136) is an individual optometrist in Portland, Oregon, licensed in Oregon (3671ATI) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Portland, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1871956136
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameALISE NICHOLE ROBERSONCredential: O.D.
Location Address3600 N INTERSTATE AVEPortland, OR 97227-1106
Mailing Address3010 Sw 10th Ave Apt 52Portland, OR 97239-3059 · (949) 303-8969
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateApril 3, 2016
Last NPPES UpdateFebruary 4, 20224 updates tracked since enumeration
NPI 1871956136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Licenses Licensed in OR · 3671ATI Licensed in OR · NOT YET ISSUED
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
3600 N INTERSTATE AVE, Portland, OR 97227

Secondary Practice Location 1

Location 13710 SW US Veterans Hospital RdPortland, OR 97239-2964 · Phone (503) 220-8262

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Alise Nichole Roberson O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951698018
PECOS Enrollment IDI20160919000269
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97227 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.16 typical visit price
range $58.99 – $176.88
Typical copayment $33.54 (range $14.74 – $44.22)
Most-billed visit code 99204
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Otolaryngology
3600 N INTERSTATE AVE, INTERSTATE MEDICAL OFFICE CENTRAL
PORTLAND, OR 97227
Physical Medicine & Rehabilitation (Sports Medicine)
3600 N INTERSTATE AVE, DEPARTMENT OF PHYSICAL MEDICINE
PORTLAND, OR 97227
Internal Medicine (Hematology & Oncology)
3600 N INTERSTATE AVE
PORTLAND, OR 97227
Social Worker (Clinical)
3600 N INTERSTATE AVE
PORTLAND, OR 97227
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
3600 N INTERSTATE AVE
PORTLAND, OR 97227
Optometrist
3600 N INTERSTATE AVE
PORTLAND, OR 97227
Internal Medicine (Hematology & Oncology)
3600 N INTERSTATE AVE
PORTLAND, OR 97227
Ophthalmology
3600 N INTERSTATE AVE
PORTLAND, OR 97227

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alise Roberson's NPI number?

The NPI number for Alise Roberson is 1871956136. It was assigned to this individual provider in the NPPES registry on April 3, 2016.

Where is Alise Roberson located?

Alise Roberson practices at 3600 N Interstate Ave, Portland, OR 97227. The listed phone number is (503) 249-3429.

What is Alise Roberson's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Alise Roberson enrolled in Medicare?

Yes. Alise Roberson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Alise Roberson accept?

Health plans from Kaiser Permanente list Alise Roberson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Alise Roberson was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.