Dr. Susan G. Rodgin

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

3167 Issued in MA

Legal business name

DR. SUSAN G. RODGIN

Practice address

33 Main St
Wayland, MA 01778-5015

Phone

(508) 651-3887

Fax

(508) 651-3888

NPI assigned

Jun 29, 2009

Last updated

Jul 6, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Susan G. Rodgin, O.D.NPI 1194839209

Title

Owner

Phone

(508) 651-3887

Specialties & licenses 1

Addresses

Other names 1

• Cochituate Eye Care Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Susan G Rodgin, O.D.

  • Optometrist
  • Wayland, MA
  • NPI 1194839209
  NPD Authorized official
• Ann E Jackman, D.C.

  • Chiropractor
  • Wayland, MA
  • NPI 1730306432
  NPD (past)

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

{
    "created_epoch": "1246233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246838400000",
    "number": "1225266240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 MAIN ST",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017785015",
            "telephone_number": "508-651-3887",
            "fax_number": "508-651-3888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 MAIN ST",
            "city": "WAYLAND",
            "state": "MA",
            "postal_code": "017785015",
            "telephone_number": "508-651-3887",
            "fax_number": "508-651-3888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SUSAN G. RODGIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-29",
        "last_updated": "2009-07-06",
        "status": "A",
        "authorized_official_last_name": "RODGIN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-651-3887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MA",
            "license": "3167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cochituate Eye Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Davis Chiropractic & Wellness PLLC
• Ryan Keith Davis, D.C.
• Alethea Desrosiers, PH.D.
• Diane C Ray PHD LLC
• Dr Matthew Cooper Chiropractic LLC
• Dr. Susan Rodgin
• Richard Conrad Dresdale Jr., LCSW
• Elaine Duffy, PHD PSYCHOLOGIST
• Valerie Marie Eagan, R.P.T.
• Stuart Edward Edelman, M.D.

• Medical Specialty Clinic/Center in Wayland, MA
• Providers in Wayland, MA by specialty
• Medical Specialty Clinic/Center in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; 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.