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Active NPI 1790040673 Individual Practitioner Male Practitioner

Dr. Roderick Blair Beazer , OD

Optometrist • Lake Stevens, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Roderick Beazer, OD is a certified Optometrist practicing in Lake Stevens, WA. With approximately 14 years of clinical experience since graduating from Southern College Of Optometry in 2012, Dr. Beazer delivers high-quality medical care to the local community at 9623 32ND ST SE STE D121.

Dr. Beazer is affiliated with Aeg Washington Professional Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient complete exam of visual system, photography of the retina, new patient complete exam of visual system. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9623 32nd St Se Ste D121

Lake Stevens, WA 982585780

Telephone 4253779747
Fax 4253778757
Associated Practice Facility / Clinic
🏢 Cascade Family Eye Care, Pllc Facility NPI 1053349613

Medicare Profile & Education

Medical School

Southern College Of Optometry

Graduation Year

2012

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Lake Stevens, WA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
14 Yrs -9.0 yrs vs City Avg
City Avg: 23.0 Yrs
State Avg: 20.4 Yrs
Regional Practice Density
4 Specialists

Practicing in Lake Stevens, WA (1692 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
35.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Beazer (14 Years) 14 Yrs
Lake Stevens Specialty Average (23.0 Years) 23.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
92014 Established patient complete exam of visual system
28 28 $175.00 $126.88
92250 Photography of the retina
12 12 $80.00 $37.17

Medical Specialties & State Licenses

CMS Verified: 2020-10-28
Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License WA OD60530417

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Washington Department Of Health
OD60530417 (WA)

Hospital & Practice Group Affiliations

Aeg Washington Professional Pc

1098 Alder Ave, Marysville, WA 982704318

Phone: 3606596255

Aeg Washington Professional Pc

9623 32nd St Se, Lake Stevens, WA 982585780

Phone: 4253779747

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1922040823

Doctor of Optometry

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location October 28, 2020

Registered at 9623 32ND ST SE STE D121, LAKE STEVENS, WA 982585780 (Tel: 4253779747)

NPI Profile Active January 26, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 26, 2016

Registered at 231 N LOGAN BLVD, BURNHAM, PA 170091813 (Tel: 7172421915)

📍
Updated Business Mailing Address January 26, 2016

Registered at 9623 32ND ST SE, STE D121, LAKE STEVENS, WA 982585780 (Tel: 7172421915)

👤
Provider Name / Credentials Updated January 26, 2016

Recorded as RODERICK BEAZER, O.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 26, 2016

Optometrist (License #OD60530417 in WA)

🟢
Initial NPI Registration & Enumeration July 07, 2012

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: 1790040673
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2012
Last Update: October 28, 2020
Sole Proprietor: Yes

Mailing Address

9623 32nd St Se, Ste D121

Lake Stevens, WA 982585780

Phone: 7172421915

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.