Rodney L. Immerman, O.D.

Primary specialty

Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X

License

MA3103 Issued in MA

Legal business name

RODNEY L. IMMERMAN, O.D.

Practice address

1900 Crown Colony Dr
Suite 301
Quincy, MA 02169-0931

Phone

(617) 770-4400

Fax

(617) 471-5093

NPI assigned

Oct 13, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Rodney Lane Immerman, O.D.NPI 1528055068

Title

Owner

Phone

(617) 698-6700

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rodney L. Immerman, O.D.

  • Optometrist
  • Quincy, MA
  • NPI 1528055068
  NPD (past) Authorized official

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881784585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "389 CANTON AVE",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021863332",
            "telephone_number": "617-698-6700",
            "fax_number": "617-698-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 CROWN COLONY DR",
            "address_2": "SUITE 301",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690931",
            "telephone_number": "617-770-4400",
            "fax_number": "617-471-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODNEY L. IMMERMAN, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "IMMERMAN",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "LANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-698-6700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WL0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "MA",
            "license": "MA3103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janaial Robinson
• Kimberly Erin Robinson, D.P.T.
• Marina Robinson
• Cynthia Roche Cotter, NURSE PRACTITIONER
• Andrea Roche, RD, LDN
• Josiefina Rodrigues Miranda
• Eduardo Rodrigues
• Diant'Ha Yanice Rodriguez
• Sarah Jean Roemer
• Amaya Rogers

• Low Vision Rehabilitation Optometrist in Quincy, MA
• Providers in Quincy, MA by specialty
• Low Vision Rehabilitation Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.