Todd T Rodabaugh

Primary specialty

OpticianTaxonomy code 156FX1800X

License

005967 Issued in NY

Practice address

126 S Main St
Horseheads, NY 14845-2443

Phone

(607) 739-9121

NPI assigned

Jun 4, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rodabaugh Optical

  • Optician
  • Horseheads, NY
  • NPI 1851533111
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205038965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 S MAIN ST",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148452443",
            "telephone_number": "607-739-9121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 S MAIN ST",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "148452443",
            "telephone_number": "607-739-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODABAUGH",
        "first_name": "TODD",
        "middle_name": "T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NY",
            "license": "005967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asserai Marie Richardson, NP
• Marc Thomas Riley, PT
• Anastasia Rinis, M.D.
• Robert Williams Therapeutic Massage PLLC
• Rodabaugh Optical
• Alan B Roessler, M.D.
• Katie Roush, LCSW-R
• Royal Community Care Transportation Inc.
• Hannah Rumpf
• Jamie Rumsey

• Optician in Horseheads, NY
• Providers in Horseheads, NY by specialty
• Optician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.