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DR. SUSAN G. RODGIN NPI 1225266240


NPI Information

NPI: 1225266240
Provider Name: DR. SUSAN G. RODGIN

Other Name: COCHITUATE EYE CARE

Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
33 MAIN ST
WAYLAND, MA
ZIP 01778
Phone: (508) 651-3887
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DR. SUSAN G. RODGIN is a medical specialty clinic center in Wayland, MA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). DR. SUSAN G. RODGIN NPI is 1225266240. The provider is registered as an organization entity type.
The provider Other Name Is Cochituate Eye Care.

The provider's business location address is:

33 MAIN ST
WAYLAND, MA
ZIP 01778-015
Phone: (508) 651-3887
Fax: (508) 651-3888

The provider's authorized official is Susan G. Rodgin .
The authorized official title is Owner and has the following contact phone number (508) 651-3887.

The enumeration date for this NPI number is 6/29/2009 and was last updated on 7/6/2009.


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
1261QM2500XClinic/CenterMedical Specialty3167MASSACHUSETTSYes

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
10131200001MEDICARE NSCMASSACHUSETTS

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: 5/5/2024

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