MARK RODAMMER OD PC NPI 1104884477

NPI Information

  • NPI: 1104884477
  • Provider Name: MARK RODAMMER OD PC
  • Classification: Optometrist - 152W00000X
  • Entity Type: Organization
  • Doing Business As: DOCTORS VISION CENTER
  • Address: 511 BELFIELD DR
    EMPORIA, VA
    ZIP 23847
  • Phone: (252) 442-0802

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NPI Details

MARK RODAMMER OD PC is an optometrist in Emporia, VA. The provider is 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. MARK RODAMMER OD PC NPI is 1104884477. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Doctors Vision Center.

The provider's business location address is:

511 BELFIELD DR
EMPORIA, VA
ZIP 23847-217
Phone: (252) 442-0802
Fax: (252) 442-2820

The provider's authorized official is Tina M Burgess .
The authorized official title is Credentialing Specialist and has the following contact phone number (252) 442-0802.

The enumeration date for this NPI number is 5/3/2006 and was last updated on 12/11/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1010285691MEDICAIDVIRGINIA
2010338352MEDICAIDVIRGINIA
3C09840MEDICARE PINVIRGINIA
4010320445MEDICAIDVIRGINIA
55632440002MEDICARE NSCVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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