Individual provider Active NPI

Kevin Rodda, OD

  • Optometrist
  • Heath, OH
National Provider Identifier
1649761735
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT.006661 Issued in OH
Practice address
604 S 30TH St
Heath, OH 43056-1204
Phone
(740) 522-8444
Fax
(740) 522-6493
NPI assigned
May 23, 2018
Last updated
Jun 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT.006661 OH Primary

Addresses

Primary practice location

604 S 30TH St
Heath, OH 43056-1204

Mailing address

604 S 30TH St
Heath, OH 43056-1204
Phone (740) 522-8444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20210506001260 OH Practitioner - Optometry 8022364413 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indian Mound Eye Clinic IncGroup PAC ID 1759315625, 4 clinicians

Practice addresses (Care Compare)

604 S 30TH St
Heath, OH 43056-1204
Phone (740) 522-8444

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPT.006661OHMDOptometrist
6661OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Indian Mound Eye Clinic Inc Optometrist CurrentSince Aug 19, 2024 Accepting new patients
Ohio State University Optometrist CurrentSince Oct 7, 2022 Accepting new patients
Ohio State University CurrentSince Oct 7, 2022 Accepting new patients
Eye Surgery Consultants Inc. PastSince Aug 19, 2024 Accepting new patients
Digestwell, LLC PastSince May 1, 2021 Accepting new patients
Family Eye Clinic & Contact Lens Center Optometrist PastSince Sep 1, 2019 Accepting new patients

Locations

1664 Neil Ave
Columbus, OH 43201
Phone (614) 292-2020

604 S 30th St
Heath, OH 43056
Phone (614) 522-8444

Organizations & group practices 6

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": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1649761735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 S 30TH ST",
            "city": "HEATH",
            "state": "OH",
            "postal_code": "430561204",
            "telephone_number": "740-522-8444",
            "fax_number": "740-522-6493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S 30TH ST",
            "city": "HEATH",
            "state": "OH",
            "postal_code": "430561204",
            "telephone_number": "740-522-8444",
            "fax_number": "740-522-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODDA",
        "first_name": "KEVIN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-23",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "OPT.006661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heath, OH

Sources for this page

Verify at the official NPI Registry.