David Wayne Rodgers, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

216T Issued in WY

Practice address

278 Main St
Lander, WY 82520-3128

Phone

(307) 332-7284

Fax

(307) 332-7285

NPI assigned

Feb 21, 2007

Last updated

Apr 16, 2008By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Owl Creek Vision Care

  • Clinic/Center
  • Lander, WY
  • NPI 1750426904
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1942345277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 MAIN ST",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203128",
            "telephone_number": "307-332-7284",
            "fax_number": "307-332-7285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 MAIN ST",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203128",
            "telephone_number": "307-332-7284",
            "fax_number": "307-332-7285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODGERS",
        "first_name": "DAVID",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "216T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF WY PROVIDER",
            "identifier": "307050",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rise Medical Practice, LLC
• Debra Rivera, M.S.,CCC-SLP
• Riverton Memorial Hospital LLC (SageWest Health Care)
• Erin Nicole Robinson, MS, CCC-SLP
• Scott Robinson, M.S. CCC-SLP
• Jennifer Rae Rodgers, O.D.
• Dawn Rogers, OTR/L
• Teresa Lynn Ruehl, D.D.S.
• Safeway Inc (Safeway Pharmacy #2761)
• Rian Sanchez

• Optometrist in Lander, WY
• Providers in Lander, WY by specialty
• Optometrist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.