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Deactivated NPI 1023183878 Deactivated / Inactive NPI Male Practitioner

Dr. Rodney Zimmerman , OD

Optometrist • Baxter, MN

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Rodney Zimmerman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 21, 2006
NPI Deactivation Date October 21, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Rodney Zimmerman, OD was a registered Optometrist practicing in Baxter, MN. Throughout an active medical career spanning 14 years, Dr. Zimmerman provided care at the practice location at 15574 EDGEWOOD DR SUITE 103 until profile deactivation on 2020-10-21.

Practice Location & Contact Primary Location

Practice Address

15574 Edgewood Dr Suite 103

Baxter, MN 56425

Telephone 2188284025
Fax 2188289759

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Baxter, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.4 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
9 Specialists

Practicing in Baxter, MN (1178 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License MN 1459

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. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 21, 2020

Record deactivated on October 21, 2020

NPI Profile Active December 28, 2012

NPI status registered as active in NPPES database

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Updated Practice Location December 28, 2012

Registered at 15574 EDGEWOOD DR SUITE 103, BAXTER, MN 56425 (Tel: 2188284025)

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Updated Business Mailing Address December 28, 2012

Registered at 15574 EDGEWOOD DR SUITE 103, BAXTER, MN 56425 (Tel: 2188284025)

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Provider Name / Credentials Updated December 28, 2012

Recorded as RODNEY ZIMMERMAN, O.D

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2012

Optometrist (License #1459 in MN)

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Initial NPI Registration & Enumeration November 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023183878
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 21, 2006
Last Update: December 28, 2012
Deactivation Date: October 21, 2020

Mailing Address

15574 Edgewood Dr Suite 103

Baxter, MN 56425

Phone: 2188284025

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.