Individual provider Active NPI

Eric Neil Roadman, O.D.

  • Optometrist
  • Kansas City, MO
National Provider Identifier
1649345489
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2001003269 Issued in MO
Practice address
504 NW Englewood Rd
Kansas City, MO 64118-3960
Phone
(816) 452-8999
Fax
(816) 452-3219
NPI assigned
Nov 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141015001074 MO Practitioner - Optometry 5294838421 Reassigns benefits to 1 organization

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
Cottle Optometry, PCGroup PAC ID 9931202165, 2 clinicians

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

ProcedureNumber of procedures
Cataract surgery44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SVS Vision Inc Optometrist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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 and National Provider Directory roles.

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

Verify at the official NPI Registry.