Active NPIOrganization

Rodney L. Immerman, O.d.

Optometrist, Low Vision Rehabilitation in Quincy, Massachusetts

NPI Number1881784585
Practice location
1900 Crown Colony Dr, Suite 301, Quincy, MA 02169-0931
Fax
617-471-5093
Last updated
August 22, 2020

Rodney L. Immerman, O.d. is a healthcare organization based in Quincy, MA. Rodney L. Immerman, O.d. practices in Quincy, MA. The NPI Number for Rodney L. Immerman, O.d. is 1881784585 and holds a License No. MA3103 (MA). The current practice location address for Rodney L. Immerman, O.d. is 1900 Crown Colony Dr, Suite 301, Quincy, MA 02169-0931 and can be reached out via phone at 617-770-4400 and via fax at 617-471-5093.

Provider Profile Details

NPI Number
1881784585
Provider Name
Rodney L. Immerman, O.d.
Provider Entity Type
Organization
Address
1900 Crown Colony Dr, Suite 301, Quincy, MA 02169-0931
Phone Number
617-770-4400
Fax Number
617-471-5093
Primary Taxonomy
Optometrist, Low Vision Rehabilitation · 152WL0500X
Organization Subpart
No
Authorized Official
Dr. Rodney Lane Immerman, OD · Owner · 617-698-6700
Provider Enumeration Date
October 13, 2006
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1900 Crown Colony Dr
Suite 301
Quincy, MA 02169-0931
City
Quincy
Zip
02169-0931
Phone Number
617-770-4400
Fax Number
617-471-5093
Quincy, MA 02169Get directions →

Provider Business Mailing Address Details

Address
389 Canton Ave
Milton, MA 02186-3332
City
Milton
State
MA
Zip
02186-3332
Phone Number
617-698-6700
Fax Number
617-698-5123

License Information

License Number
MA3103
License State
MA
Taxonomy
Optometrist, Low Vision Rehabilitation · 152WL0500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Rodney L. Immerman, O.d.?

The NPI number of Rodney L. Immerman, O.d. is 1881784585. It was assigned on October 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Rodney L. Immerman, O.d.?

Rodney L. Immerman, O.d. is registered under the primary taxonomy Optometrist, Low Vision Rehabilitation (code 152WL0500X), licensed in MA under license number MA3103.

Where does Rodney L. Immerman, O.d. practice?

The practice location is 1900 Crown Colony Dr, Suite 301, Quincy, MA 02169-0931. The office can be reached at 617-770-4400 (phone) or 617-471-5093 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1881784585 directly on the NPPES registry website.

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