Rodney Alan Windhorst, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1315TX Issued in WA

Practice address

515 State Route 9 NE Ste 104
Lake Stevens, WA 98258-8523

Phone

(425) 334-4016

Fax

(425) 334-4017

NPI assigned

Aug 18, 2005

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Vision Plus Stanwood, PLLC

  dba Vision Plus Stanwood

  • Optometrist
  • Stanwood, WA
  • NPI 1427511484
  NPD (past)

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223856000000",
    "number": "1962494609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 STATE ROUTE 9 NE STE 104",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982588523",
            "telephone_number": "425-334-4016",
            "fax_number": "425-334-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 STATE ROUTE 9 NE STE 104",
            "city": "LAKE STEVENS",
            "state": "WA",
            "postal_code": "982588523",
            "telephone_number": "425-334-4016",
            "fax_number": "425-334-4017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDHORST",
        "first_name": "RODNEY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2008-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WA",
            "license": "1315TX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "G8874110",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Michelle Welsh
• David M Wheeler, PT
• Justin E White, DPT
• Willetts Way ABA
• Kimberly K. Williams, LMP
• Caralee Lydia Wirth, B.A., M.S., CCC-SLP
• Vanessa R Wise, D.C.
• Wendy Ann Wolthausen, LMP
• Pryndana Wood, CBT, RBT
• Brea Ann Wrzesinski, MA60771416

• Optometrist in Lake Stevens, WA
• Providers in Lake Stevens, WA by specialty
• Optometrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2008; 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.