Rodolfo L. Rodriguez, O.D., P.A.
NPI 1720319379ActiveOrganization· Optometrist· North Bergen, NJ
Optometrist in North Bergen, New Jersey, registered in NPPES in January 2010. The authorized official on file is Rodolfo Lazaro Rodriguez, O.D., President/Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1720319379 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 21, 2010 |
| Last updated in NPPES | Jan 21, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 27OA00424200 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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