Individual provider Active NPI

Brittni Chelsea Rodriguez, OD

  • Optometrist
  • New York, NY
National Provider Identifier
1861047649
Registry record updated Aug 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
009045 Issued in NY
Practice address
2204 Frederick Douglass Blvd
New York, NY 10026-1172
Phone
(732) 379-2339
NPI assigned
Aug 7, 2019
Last updated
Aug 7, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 009045 NY Primary

Addresses

Primary practice location

2204 Frederick Douglass Blvd
New York, NY 10026-1172

Mailing address

2204 Frederick Douglass Blvd
New York, NY 10026-1172
Phone (732) 379-2339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191224000608 NY Practitioner - Optometry 9638503725 Reassigns benefits to 2 organizations
I20251217000481 ME Practitioner - Optometry 9638503725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

13 Maverick St
Rockland, ME 04841-3402

529 S Patten Rd
Patten, ME 04765-3007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Katahdin Valley Health Center CurrentSince Dec 2, 2025 Accepting new patients
Katahdin Valley Health Center CurrentSince Dec 2, 2025 Accepting new patients
Allerton Eye Care LLC Optometrist CurrentSince Jun 19, 2023 Accepting new patients
JG Vision Associates,Inc CurrentSince Jun 19, 2023 Accepting new patients
Harlem Vistasite Eye Care Inc Optometrist CurrentSince Oct 26, 2019 Accepting new patients

Locations

59 Bangor St
Houlton, ME 04730
Phone (207) 532-7161

5 Lake St
Lincoln, ME 04457

529 S Patten Rd
Patten, ME 04765

702 Allerton Ave
Bronx, NY 10467
Phone (718) 654-2020

2204 Frederick Douglass Blvd
New York, NY 10026
Phone (646) 895-9000

Interoperability endpoints

  • Direct secure messaging: brittni.rodriguez.1@7377.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/7377/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1861047649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 FREDERICK DOUGLASS BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100261172",
            "telephone_number": "732-379-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 FREDERICK DOUGLASS BLVD",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100261172",
            "telephone_number": "732-379-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "BRITTNI",
        "middle_name": "CHELSEA",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "009045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.