Rodney L. Immerman, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

3103 Issued in MA

Practice address

1900 Crown Colony Dr
Suite 301
Quincy, MA 02169-0979

Phone

(617) 698-6700

Fax

(617) 698-5123

NPI assigned

Sep 30, 2005

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

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Center for Eye Health IncGroup PAC ID 4082696976, shared by 2 NPIs, 11 clinicians

Nielsen Eye Center, Inc.Group PAC ID 6608828884, 12 clinicians

Microsurgical Eye ConsultantsGroup PAC ID 9739140104, 12 clinicians

Advanced Eye Centers IncGroup PAC ID 8527052539, 15 clinicians

Eye Health Associates IncGroup PAC ID 0244482883, 26 clinicians

North Suburban Eye Associates PCGroup PAC ID 5193747186, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: immerman.rodney.mse@direct.partners.masshiway.net

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.

• Advanced Eye Centers Inc

  • Optometrist
  • N Dartmouth, MA
  • NPI 1740231323
  Medicare reassignment Care Compare group NPD
• Eye Health Associates Inc

  • Ophthalmology Physician
  • Dartmouth, MA
  • NPI 1952653131

  Optometrist

  Medicare reassignment Care Compare group NPD
• Microsurgical Eye Consultants

  • Specialist
  • Peabody, MA
  • NPI 1922108711
  Medicare reassignment Care Compare group NPD
• Nielsen Eye Center, Inc.

  • Clinic/Center
  • Quincy, MA
  • NPI 1982829669
  Medicare reassignment Care Compare group NPD
• North Suburban Eye Associates PC

  • Ophthalmology Physician
  • Wakefield, MA
  • NPI 1942351994

  Optometrist

  Medicare reassignment Care Compare group NPD
• Center for Eye Health Inc

  • Ophthalmology Physician
  • Brockton, MA
  • NPI 1902911563
  Medicare reassignment NPD
• Center for Eye Health Inc

  • Ophthalmology Physician
  • Fall River, MA
  • NPI 1922113844

  Optometrist

  Medicare reassignment NPD
• Eye Associates PC

  • Ophthalmologic Surgery Clinic/Center
  • Burlington, MA
  • NPI 1790789741
  Medicare reassignment NPD
• North Suburban Eye Associates LLC

  • Ophthalmology Physician
  • Wakefield, MA
  • NPI 1942737226
  Medicare reassignment NPD
• Rodney L. Immerman, O.D.

  • Low Vision Rehabilitation Optometrist
  • Quincy, MA
  • NPI 1881784585
  NPD (past) Authorized official
• Eye Health Associates Inc

  • Eyewear Supplier
  • Fairhaven, MA
  • NPI 1699029892
  NPD
• Eye Health Associates SPN LLC

  • Ophthalmology Physician
  • Dartmouth, MA
  • NPI 1225444979
  NPD (past)

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1528055068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 FORT ST",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027192757",
            "telephone_number": "617-698-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 CROWN COLONY DR",
            "address_2": "SUITE 301",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690979",
            "telephone_number": "617-698-6700",
            "fax_number": "617-698-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMMERMAN",
        "first_name": "RODNEY",
        "middle_name": "L.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "3103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "W20420",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "763497",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "W15692",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "158263",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0353922",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SRA",
            "identifier": "W22043",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristen Ihde, PSY.D.
• IHS of Massachusetts LLC
• IHS of Massachusetts LLC
• Illusions of Samsara
• Iman Home Healthcare LLC
• Kalie Imprescia
• Indek Chiropractic
• Bruce Indek, DC
• Shamara Innocent
• Institute for Sexual Wellness, Inc

• Optometrist in Quincy, MA
• Providers in Quincy, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.

Verify at the official NPI Registry.