David Anthony Rodriguez, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

009857 Issued in NY

Practice address

1094 Old Country Rd
Riverhead, NY 11901-2020

Phone

(631) 655-0290

NPI assigned

Jul 12, 2023

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

Locations

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.

• National Vision Inc

  dba America's Best Contacts & Eyeglasses

  • Optometrist
  • Riverhead, NY
  • NPI 1174212658
  NPD

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1225717804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 AMARR DR",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119673602",
            "telephone_number": "631-512-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1094 OLD COUNTRY RD",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012020",
            "telephone_number": "631-655-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "DAVID",
        "middle_name": "ANTHONY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riverhead Volunteer Ambulance Corps Inc
• Grace Anna Robayo, LMSW
• Robert Wilutis Occupational and Physical Therapy, PLLC (Robert Wilutis Hand Therapy, PLLC)
• Lewis A Roberts, MD
• Anne Rodriguez, L.C.S.W.
• Samantha Rodriguez I
• Kerri E Roesch, RPAC
• Louis C Romeo, M.D
• Christopher Frances Ronan, CASAC
• Marianna Rooney, CCC-SLP

• Optometrist in Riverhead, NY
• Providers in Riverhead, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.