Holly Marbut Rodell, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-E93-TA-C44 Issued in AL

Practice address

129 N Chalkville Rd
Trussville, AL 35173-1376

Phone

(205) 445-2020

Fax

(205) 655-3194

NPI assigned

Jun 16, 2021

Last updated

Apr 4, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

University Alabama Birmingham - School of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Myeyedr Optometry of Alabama LLCGroup PAC ID 0840559878, 30 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Myeyedr Optometry of Alabama LLC

  dba MyEyeDr.

  • Optometrist
  • Tuscaloosa, AL
  • NPI 1770093551
  Medicare reassignment Care Compare group NPD
• Myeyedr Optometry of Alabama LLC

  dba MyEyeDr.

  • Optometrist
  • Trussville, AL
  • NPI 1235649013
  NPD
• Myeyedr Optometry of Alabama, LLC

  dba MyEyeDr.

  • Optometrist
  • Cullman, AL
  • NPI 1104488055
  NPD
• Eye on Eyes

  • Optometrist
  • Charleston, SC
  • NPI 1851614358
  NPD
• Myeyedr Optometry of Alabama LLC

  dba MyEyeDr.

  • Optometrist
  • Birmingham, AL
  • NPI 1922518943
  NPD (past)

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1700454667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 OLD GALLOWS RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221823970",
            "telephone_number": "703-847-8899",
            "fax_number": "571-223-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N CHALKVILLE RD",
            "city": "TRUSSVILLE",
            "state": "AL",
            "postal_code": "351731376",
            "telephone_number": "205-445-2020",
            "fax_number": "205-655-3194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2070 Sam Rittenberg Blvd Ste 412",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294074605",
            "country_code": "US",
            "telephone_number": "843-627-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODELL",
        "first_name": "HOLLY",
        "middle_name": "MARBUT",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "2282",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-E93-TA-C44",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celeste Renee Richardson, CRNP
• Peter Gilmer Riddle, DC
• Shannon Riggins
• Right Start Therapy, Inc (Trussville Rehab & Wellness)
• Katherine Ann Rochelle, M.D.
• Kimberly Saylors Rush, RPH
• Lydia Ryan, PMHNP
• Melinda Ryan, ALC
• Michael Lawrence Ryan, ATC, CSCS
• Sam's Club Optical (Sam's Club Optical 30-4817)

• Optometrist in Trussville, AL
• Providers in Trussville, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.