Individual provider Active NPI

Maria Milagros Rodriguez, OD

  • Optometrist
  • New York, NY
National Provider Identifier
1639894173
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
007012 Issued in NY
Practice address
777 3Rd Ave
New York, NY 10017-1401
Phone
(347) 200-9675
NPI assigned
Oct 6, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 007012 NY Primary

Addresses

Primary practice location

777 3Rd Ave
New York, NY 10017-1401

Mailing address

777 3Rd Ave
New York, NY 10017-1401
Phone (347) 200-9675

Other practice location 1

2 Prince St
New York, NY 10012-3560
Phone (212) 223-2343

Other practice location 2

1186 Madison Ave
New York, NY 10028-0091
Phone (212) 257-1831

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

400 E 58TH St
Apt 11E
New York, NY 10022-2319

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007012NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1639894173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171401",
            "telephone_number": "347-200-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 3RD AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171401",
            "telephone_number": "347-200-9675"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Prince St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100123560",
            "country_code": "US",
            "telephone_number": "212-223-2343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1186 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100280091",
            "country_code": "US",
            "telephone_number": "212-257-1831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "MARIA",
        "middle_name": "MILAGROS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-06",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "007012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.