National Provider Identifier

Mark Edward Rodman, O.D.

Mark Edward Rodman, O.D. is listed in the NPPES registry with a primary specialty of Optometrist in Amherst, NY and a listed phone number of (716) 564-2020.

NPI 1255306023Amherst, NYOptometrist

Profile Overview

NPI
1255306023
Provider Type
Individual
Primary Specialty
Optometrist
Enumeration Date
February 23, 2006
Last Updated
November 24, 2008

Practice Location

  • 2825 Niagara Falls Blvd
  • Suite 130
  • Amherst, NY 14228-2046

Phone: (716) 564-2020

Mailing Address

  • 16 Heritage RD E
  • Williamsville, NY 14221-2308

Specialties

  • Optometrist (152W00000X)
Full Record
NPI
1255306023
Entity Type
Individual
Last Name
Rodman
First Name
Mark
Middle Name
Edward
Name Prefix
Dr.
Credential
O.D.
Mailing Street Address
16 Heritage RD E
Mailing City
Williamsville
Mailing State
NY
Mailing ZIP Code
14221-2308
Mailing Country
US
Mailing Phone
(716) 688-6336
Mailing Fax
(716) 831-3837
Practice Street Address
2825 Niagara Falls Blvd
Practice Address Line 2
Suite 130
Practice City
Amherst
Practice State
NY
Practice ZIP Code
14228-2046
Practice Country
US
Practice Phone
(716) 564-2020
Practice Fax
(716) 564-2060
Enumeration Date
February 23, 2006
Last Updated
November 24, 2008
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Optometrist (152W00000X)
Other Identifiers
0890279 (NY, Independent Health)