Individual provider Active NPI

Mark David Rodammer, O.D.

  • Optometrist
  • Lynchburg, VA
National Provider Identifier
1972561173
Registry record updated Aug 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0618001308 Issued in VA
Practice address
2514 Langhorne Rd
Lynchburg, VA 24501-1602
Phone
(434) 239-2800
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0618001308 VA Primary

Addresses

Primary practice location

2514 Langhorne Rd
Lynchburg, VA 24501-1602

Mailing address

2514 Langhorne Rd
Lynchburg, VA 24501-1602
Phone (434) 239-2800

Other identifiers 3

IdentifierTypeStateIssuer
189926OtherVAANTHEM BCBS-WAYNESB PROV#
009235612MedicaidVA
010257468MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20060718000280 VA Practitioner - Optometry 2365455243 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jennifer E Davis Optometrist PLLCGroup PAC ID 7416213152, 2 clinicians

Practice addresses (Care Compare)

221 Osage LN
Suite a
Waynesboro, VA 22980-9309
Phone (540) 949-7126

Merit-based Incentive Payment System (MIPS)

Final score
95.17 of 100Reported as group
Quality
90.33
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0618001308VAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer E. Davis, Optometrist, PLLC Optometrist CurrentSince Nov 1, 2017 Accepting new patients
Mark Rodammer OD PC Optometrist PastSince Feb 17, 2006 Accepting new patients
Vision Tech Optometry Center Inc. Optometrist PastSince Nov 1, 2017 Accepting new patients

Locations

400 S Magnolia Ave
Waynesboro, VA 22980
Phone (540) 943-2723

221 Osage Ln
Ste A
Waynesboro, VA 22980
Phone (540) 949-7126

Interoperability endpoints

  • Direct secure messaging: mark.rodammer@direct.revolutionehr.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344211200000",
    "number": "1972561173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 LANGHORNE RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011602",
            "telephone_number": "434-239-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 LANGHORNE RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011602",
            "telephone_number": "434-239-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODAMMER",
        "first_name": "MARK",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2012-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618001308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS-WAYNESB PROV#",
            "identifier": "189926",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009235612",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010257468",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.