Ismael Rodriguez, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3626-35 Issued in WI

Practice address

4237 Lien Rd Ste E
Madison, WI 53704-3686

Phone

(608) 819-0642

NPI assigned

Jul 10, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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

Illinois College of Optometry at Chicago, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brenart Eye Clinic, LLCGroup PAC ID 1456306851, 8 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 and National Provider Directory roles.

• Brenart Eye Clinic, LLC

  • Optometrist
  • Yorkville, IL
  • NPI 1245307636
  Medicare reassignment Care Compare group NPD
• America's Best Contacts & Eyeglasses

  • Optician
  • Madison, WI
  • NPI 1063650729
  NPD (past)

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

{
    "created_epoch": "1594339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594339200000",
    "number": "1831717362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 GASTON RD #111",
            "city": "COTTAGE GROVE",
            "state": "WI",
            "postal_code": "53718",
            "telephone_number": "630-901-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4237 LIEN RD STE E",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043686",
            "telephone_number": "608-819-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "ISMAEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-10",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3626-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace Rockwell, NP
• Danielle Marie Patzner Rodgers
• Frank Lockehart Rodgers, MD
• Jennifer Rodgers, MD
• Lydienid Rodriguez Ortiz
• Justin Chad Rodriguez, D.C.
• Melissa Rodriguez
• Nestor S Rodriguez, M.D.
• Stefanie A Rodriguez, MS, RD, CDN
• Jeffrey E Rodzak, MD

• Optometrist in Madison, WI
• Providers in Madison, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.