Active NPI
Eric Neil Roadman, O.D.
- Optometrist
- Kansas City, MO
National Provider Identifier
1649345489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2001003269
- Practice address
- 504 NW Englewood Rd
Kansas City, MO 64118-3960 - Phone
- (816) 452-8999
- Fax
- (816) 452-3219
- NPI assigned
- Nov 21, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2001003269 | MO | Primary |
Addresses
Primary practice location
504 NW Englewood Rd
Kansas City, MO 64118-3960
Mailing address
504 NW Englewood Rd
Kansas City, MO 64118-3960
Phone (816) 452-8999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Illinois College of Optometry at Chicago, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3700 SW Cheddington Dr
Summit Lakes Eye Care
Lees Summit, MO 64082-4797
Phone (816) 623-9990
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 44 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SVS Vision Inc | Optometrist | Past | Accepting new patients |
Interoperability endpoints
- eroadmanod@summiteyekc.direct.eyemdemr.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649345489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 NW ENGLEWOOD RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641183960",
"telephone_number": "816-452-8999",
"fax_number": "816-452-3219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 NW ENGLEWOOD RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641183960",
"telephone_number": "816-452-8999",
"fax_number": "816-452-3219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROADMAN",
"first_name": "ERIC",
"middle_name": "NEIL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "2001003269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.