Allan L Rhoads, O.D. (OPTOMETRIST)

Primary specialty

OptometristTaxonomy code 152W00000X

License

OD00004111 Issued in WA

Practice address

92 Omrs / Optometry
701 Hospital Loop, Suite 243
Fairchild Afb, WA 99011-8704

Phone

(509) 247-5114

Fax

(509) 247-2539

NPI assigned

Jan 26, 2006

Sex

Male

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 WA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1700856150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 HOSPITAL LOOP STE 243",
            "city": "FAIRCHILD AFB",
            "state": "WA",
            "postal_code": "990118704",
            "telephone_number": "509-247-5114",
            "fax_number": "509-247-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 OMRS / OPTOMETRY",
            "address_2": "701 HOSPITAL LOOP, SUITE 243",
            "city": "FAIRCHILD AFB",
            "state": "WA",
            "postal_code": "990118704",
            "telephone_number": "509-247-5114",
            "fax_number": "509-247-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHOADS",
        "first_name": "ALLAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.  (OPTOMETRIST)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC-2106",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "OD00004111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North American Midwives Alliance LLC
• Gary L Percival, PH.D.
• Catherine Ramig
• Reva Gay Reese, FNP
• Yoko Reynolds, PSYD
• Montana Renee Rickey, PHARM. D
• Wandalyz Rivera de Jesus, MSW
• Kerilyn Shigihara, IDMT
• Robert Michael Siebenaler, IDMT
• Camilla Deann Smith, RN

• Optometrist in Fairchild Afb, WA
• Providers in Fairchild Afb, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.