Individual provider Active NPI

Brooks Rodman, O.D.

  • Optometrist
  • Saint Helens, OR
National Provider Identifier
1801116199
Registry record updated May 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3367ATI Issued in OR
Practice address
2020 Columbia Blvd
Saint Helens, OR 97051-1737
Phone
(503) 397-4911
Fax
(503) 397-3986
NPI assigned
Jun 9, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 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 3367ATI OR Primary

Addresses

Primary practice location

2020 Columbia Blvd
Saint Helens, OR 97051-1737

Mailing address

2020 Columbia Blvd
Saint Helens, OR 97051-1737
Phone (503) 397-4911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20110110000293 OR Practitioner - Optometry 0042409815 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Family Vision Care LLCGroup PAC ID 5597935015, 2 clinicians

Practice addresses (Care Compare)

2020 Columbia Blvd
Saint Helens, OR 97051-1737
Phone (503) 397-4911

Merit-based Incentive Payment System (MIPS)

Final score
81.61 of 100Reported as group
Quality
63.22
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery19

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3367ATIORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Family Vision Care LLC Optometrist CurrentSince Jul 13, 2011 Accepting new patients
George W Curnutt OD PC Optometrist PastSince Jul 15, 2011 Accepting new patients

Locations

2020 Columbia Blvd
Saint Helens, OR 97051
Phone (503) 397-4911

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": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653436800000",
    "number": "1801116199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 COLUMBIA BLVD",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970511737",
            "telephone_number": "503-397-4911",
            "fax_number": "503-397-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 COLUMBIA BLVD",
            "city": "SAINT HELENS",
            "state": "OR",
            "postal_code": "970511737",
            "telephone_number": "503-397-4911",
            "fax_number": "503-397-3986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODMAN",
        "first_name": "BROOKS",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-09",
        "last_updated": "2022-05-25",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "3367ATI",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Helens, OR

Sources for this page

Verify at the official NPI Registry.