Organization
RODNEY L. IMMERMAN, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY LANE IMMERMAN O.D. (OWNER)
(617) 698-6700
Entity
Organization
Contact information
Practice address
1900 CROWN COLONY DR, SUITE 301, QUINCY, MA 02169-0931
(617) 770-4400
(617) 471-5093
Mailing address
389 CANTON AVE, MILTON, MA 02186-3332
(617) 698-6700
(617) 698-5123
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
MA3103
MA
Other
Enumeration date
10/13/2006
Last updated
08/22/2020
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