Organization Active NPI

Rodney Robertson OD PC

  • Optometrist
  • Mesquite, TX
National Provider Identifier
1447462932
Registry record updated Oct 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3735TG Issued in TX
Legal business name
RODNEY ROBERTSON OD PC
Practice address
1220 N Town East Blvd
Suite 220
Mesquite, TX 75150-7605
Phone
(972) 613-9000
NPI assigned
May 4, 2007
Last updated
Oct 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2013

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

Authorized official

Name
Rodney L Robertson, ODNPI 1437138484
Title
Owner
Phone
(972) 613-9000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 3735TG TX Primary

Addresses

Primary practice location

1220 N Town East Blvd
Suite 220
Mesquite, TX 75150-7605

Mailing address

1220 N Town East Blvd
Suite 220
Mesquite, TX 75150-7605
Phone (972) 613-9000

National Provider Directory

National Provider Directory

Locations

4414 Lemmon Ave
Dallas, TX 75219
Phone (214) 522-3937

2411 N Galloway Ave
Ste 116
Mesquite, TX 75150
Phone (972) 613-9000

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381708800000",
    "number": "1447462932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 N TOWN EAST BLVD",
            "address_2": "SUITE 220",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751507605",
            "telephone_number": "972-613-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 N TOWN EAST BLVD",
            "address_2": "SUITE 220",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751507605",
            "telephone_number": "972-613-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODNEY ROBERTSON OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2013-10-14",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-613-9000",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3735TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; 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.