National Provider Identifier

Todd T Rodabaugh

Todd T Rodabaugh is listed in the NPPES registry with a primary specialty of Optician in Horseheads, NY and a listed phone number of (607) 739-9121.

NPI 1205038965Horseheads, NYOptician

Profile Overview

NPI
1205038965
Provider Type
Individual
Primary Specialty
Optician
Enumeration Date
June 04, 2007
Last Updated
July 08, 2007

Practice Location

  • 126 S Main St
  • Horseheads, NY 14845-2443

Phone: (607) 739-9121

Specialties

  • Optician (156FX1800X)
Full Record
NPI
1205038965
Entity Type
Individual
Last Name
Rodabaugh
First Name
Todd
Middle Name
T
Mailing Street Address
126 S Main St
Mailing City
Horseheads
Mailing State
NY
Mailing ZIP Code
14845-2443
Mailing Country
US
Mailing Phone
(607) 739-9121
Practice Street Address
126 S Main St
Practice City
Horseheads
Practice State
NY
Practice ZIP Code
14845-2443
Practice Country
US
Practice Phone
(607) 739-9121
Enumeration Date
June 04, 2007
Last Updated
July 08, 2007
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Optician (156FX1800X)
Other Identifiers
02064217 (NY)