Dr Rodney W Bourdage, OD is a
Optometrist based in Waldport, Oregon. Dr Rodney W Bourdage is licensed to practice in Oregon (license number 1177AT) and his current practice location is
525 Nw Willow, Waldport, Oregon. He can be reached at his office (for appointments etc.) via phone at
(541) 563-4100.
NPI number for Dr Rodney W Bourdage is 1366591026 and his current mailing address is Po Box 888, Waldport, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366591026.
Healthcare Provider's Profile
| Full Name | Dr Rodney W Bourdage |
|---|
| Gender | Male |
|---|
| Speciality | Optometrist |
|---|
| Location | 525 Nw Willow, Waldport, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1366591026
- Provider Enumeration Date: 01/10/2007
- Last Update Date: 03/13/2008
Medical Identifiers
Medical identifiers for Dr Rodney W Bourdage such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366591026 | NPI | - | NPPES |
| 236117 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 1177AT (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Rodney W Bourdage is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Rodney W Bourdage, OD
Po Box 888,
Waldport, OR 97394-0888
Ph: (541) 563-4100 | Dr Rodney W Bourdage, OD
525 Nw Willow,
Waldport, OR 97394-0888
Ph: (541) 563-4100 |
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