Individual provider Active NPI

Laura Rodriguez, OD

  • Optometrist
  • Visalia, CA
National Provider Identifier
1700485133
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
34894TLG Issued in CA
Practice address
5021 W Noble Ave
Visalia, CA 93277-8310
Phone
(559) 627-9393
NPI assigned
Oct 17, 2020
Last updated
Jun 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 34894TLG CA Primary

Addresses

Primary practice location

5021 W Noble Ave
Visalia, CA 93277-8310

Mailing address

2419 Dobbins LN
Riverbank, CA 95367-2629
Phone (209) 622-5130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20220825002374 CA Practitioner - Optometry 3072997048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Surgical and Medical Associates, Inc.Group PAC ID 3072400431, 6 clinicians

Practice addresses (Care Compare)

5021 W Noble Ave
Suite a
Visalia, CA 93277-8310
Phone (559) 627-9393

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34894TLGCAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Surgical & Medical Associates, Inc. CurrentSince Jul 1, 2022 Accepting new patients
Sierra Nurse Anesthesia CurrentSince Jun 26, 2022 Accepting new patients
Kaweah Delta Health Care District PastSince Jul 1, 2022 Accepting new patients

Locations

5021 W Noble Ave
Visalia, CA 93277
Phone (559) 625-2020

5021 W Noble Ave
Ste A
Visalia, CA 93277
Phone (559) 627-9393

Interoperability endpoints

  • Direct secure messaging: lrodriguez@esma.intellechartdirect.net

Organizations & group practices 3

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": "1602892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1700485133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 DOBBINS LN",
            "city": "RIVERBANK",
            "state": "CA",
            "postal_code": "953672629",
            "telephone_number": "209-622-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5021 W NOBLE AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778310",
            "telephone_number": "559-627-9393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "LAURA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-17",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "34894TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.