Active NPI
Joshua John Roden, OD
- Optometrist
- Avondale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT-002348
- Practice address
- 10000 W McDowell Rd
Avondale, AZ 85392-4803 - Phone
- (602) 882-8711
- NPI assigned
- Jun 17, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT-002348 | AZ | Primary |
Addresses
Primary practice location
10000 W McDowell Rd
Avondale, AZ 85392-4803
Mailing address
737 E Myrtle Ave
Phoenix, AZ 85020-5034
Other practice location 1
7245 E Osborn Rd Ste 4
Scottsdale, AZ 85251-6443
Phone (480) 994-5012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7245 E Osborn Rd
Suite 4
Scottsdale, AZ 85251-6443
Phone (602) 991-5012
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT-002348 | AZ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Ophthalmologists LTD | Current | Accepting new patients | |
| Brian T. Rose, MD, PLC | Past | Accepting new patients | |
| Associated Ophthalmologist, LTD | Optometrist | Past | Accepting new patients |
Locations
4915 E Baseline Rd
Ste 114
Gilbert, AZ 85234
Phone (480) 830-0012
300 E Osborn Rd
Ste 100
Phoenix, AZ 85012
Phone (602) 200-0770
7373 N Scottsdale Rd
Ste D100
Scottsdale, AZ 85253
7245 E Osborn Rd
Ste 4
Scottsdale, AZ 85251
Phone (480) 994-5012
7571 S Willow Dr
Tempe, AZ 85283
7571 S Willow Dr
Ste 101
Tempe, AZ 85283
Phone (480) 822-6230
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Ophthalmology Physician
- Scottsdale, AZ
- NPI 1487704581
-
- Ophthalmology Physician
- Tempe, AZ
- NPI 1497945885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586822400000",
"number": "1104486653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "737 E MYRTLE AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850205034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10000 W MCDOWELL RD",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853924803",
"telephone_number": "602-882-8711"
}
],
"practiceLocations": [
{
"address_1": "7245 E Osborn Rd Ste 4",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852516443",
"country_code": "US",
"telephone_number": "480-994-5012",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RODEN",
"first_name": "JOSHUA",
"middle_name": "JOHN",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-17",
"last_updated": "2020-04-14",
"certification_date": "2020-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "OPT-002348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.