Active NPI
Brittni Chelsea Rodriguez, OD
- Optometrist
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 009045
- Practice address
- 2204 Frederick Douglass Blvd
New York, NY 10026-1172 - Phone
- (732) 379-2339
- NPI assigned
- Aug 7, 2019
- Last updated
- Aug 7, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Katahdin Valley Health Center | Current | Accepting new patients | |
| Katahdin Valley Health Center | Current | Accepting new patients | |
| Allerton Eye Care LLC | Optometrist | Current | Accepting new patients |
| JG Vision Associates,Inc | Current | Accepting new patients | |
| Harlem Vistasite Eye Care Inc | Optometrist | Current | 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
- brittni.rodriguez.1@7377.direct.athenahealth.com
- 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.
-
- Optometrist
- Bronx, NY
- NPI 1780368647
-
- Optometrist
- New York, NY
- NPI 1942768387
-
- Federally Qualified Health Center (FQHC)
- Houlton, ME
- NPI 1376618546
-
- Federally Qualified Health Center (FQHC)
- Millinocket, ME
- NPI 1003034406
-
- Community/Retail Pharmacy
- Brownville, ME
- NPI 1699479311
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.