RODNEY L. IMMERMAN


Address: 1900 Crown Colony Dr, Suite 301, Quincy, MA 02169-0979
Phone: 6176986700

RODNEY L. IMMERMAN (NPI# 1528055068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528055068
Entity Type Individual
Full Name RODNEY L. IMMERMAN
Credential O.D.
Practice Address 1900 Crown Colony Dr
Suite 301
Quincy
MA 02169-0979
Mailing Address 13 Fort St
Fairhaven
MA 02719-2757
Practice Telephone 6176986700
Practice Fax Number 6176985123
Mailing Telephone 6176986700
Enumeration Date 2005-09-30
Last Update Date 2017-04-28
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 3103 MA Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA BCBS GROUP W20420 01
MA TUFTS 763497 01
MA HPHC 158263 01
MA 0353922 05
MA BCBS W15692 01
MA SRA W22043 01

Office Location

Street Address 1900 CROWN COLONY DR
SUITE 301
City QUINCY
State MA
Zip Code 02169-0979

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437145034 Cindy W. Chao Ophthalmology 1900 Crown Colony Dr, Suite 301, Quincy, MA 02169-0931 2005-09-20
1881784585 Rodney L. Immerman, O.d. Optometrist 1900 Crown Colony Dr, Suite 301, Quincy, MA 02169-0931 2006-10-13
1902817687 Eye Health Services, Inc. Optometrist 1900 Crown Colony Dr, Suite 301, Quincy, MA 02169-0931 2006-08-10
1821008400 Eye Health Services, Inc. Optometrist 1900 Crown Colony Dr, Suite 301, Quincy, MA 02169-0931 2006-08-08
1275571499 David G Lotufo Ophthalmology 1900 Crown Colony Dr, Suite 301, Quincy, MA 02169-0979 2006-06-02
1699765396 Jessica L. Stejna Optometrist 1900 Crown Colony Dr, Suite 301, Quincy, MA 02169-0931 2005-10-24
1740270693 Richard S Weinhaus Ophthalmology 1900 Crown Colony Dr, Suite 301, Quincy, MA 02169-0931 2005-10-24
1710976840 John M Carroll Ophthalmology 1900 Crown Colony Dr, Suite 301, Quincy, MA 02169-0931 2005-10-20

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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083095806 Mary Bui Vo Optometrist 1219 Hancock St, Quincy, MA 02169-4342 2015-06-17
1356775720 Jason Michael Kvitle Optometrist 3325 Maine St, Suite 1, Quincy, IL 62301-4438 2013-08-21
1164855698 Phuong Thanh Nguyen Optometrist 212 Common St, Quincy, MA 02169-4709 2013-08-20
1053684027 Sandra M. Payton Vision Care, Inc Optometrist 1147 Hancock St Ste E, Quincy, MA 02169-4330 2012-02-21
1760715999 Anjali Pathak Optometrist 10 Faxon Ave, 114, Quincy, MA 02169-4682 2009-09-04
1265689863 Bobak Rafati Optometrist 3131 Broadway, Quincy, IL 62301 2008-08-26
1831381045 Comfort Vision Inc Optometrist 221 Quincy Ave Unit B, Quincy, MA 02169-6754 2007-08-11
1275731655 Jonathan Charles Friden Optometrist 68 E Central Ave Ste C, Quincy, CA 95971-9718 2007-07-06
1922120781 Usana Wu Optometrist 200 Cove Way, #504, Quincy, MA 02169-5882 2007-04-04
1730214552 Dr Sheldon Strauss Optometrist 675 Hancock St, Quincy, MA 02170-2826 2007-02-22
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Competitor

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City QUINCY
Zip Code 02169

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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