National Provider Identifier Database

RODERICK B BEAZER, OD – NPI #1790040673
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

RODERICK B BEAZER, OD
9623 32ND ST SE STE D121
LAKE STEVENS, WA98258-5780
Phone: 425-377-9747
Fax: 425-377-8757
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for RODERICK B BEAZER

NPI Number 1790040673
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/07/2012
Last updated 10/28/2020 - About 6 years ago
Sole proprietor1 Yes
Identifiers
  • WA License #: OD60530417
  • WA Other: OD60530417 WASHINGTON DEPARTMENT OF HEALTH
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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