Rodolfo L. Rodriguez, O.D., P.A.

LBN: Rodolfo L. Rodriguez, O.D., P.A.
Rodolfo L. Rodriguez, O.D., P.A. is an health care organization with primary practice located at 7922 Kennedy Blvd , North Bergen NJ 07047-4175. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Rodolfo L. Rodriguez, O.D., P.A. can be contacted via phone (201) 295-2020, or through Rodriguez, Rodolfo Lazaro via phone (201) 295-2020.

Contact Information

Primary practice address
7922 Kennedy Blvd North Bergen NJ 07047-4175
Fax: (201) 295-0804
Website:
Authorized official contact:
Name: Rodriguez, Rodolfo Lazaro Doctor of Optometry (OD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 27OA00424200 New Jersey

Profile Details

NPI number 1720319379
LBN Legal business name Rodolfo L. Rodriguez, O.D., P.A.
DBA Doing business as
Authorized official Rodriguez, Rodolfo Lazaro Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 21st, 2010
Last updated Jan 21st, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720319379 NPPES
New Jersey MEDICAID 1295900

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