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RODNEY W ROEBUCK OD
NPI 1033268016
Optometrist in Davis, CA

Active since January 09, 2007PECOS Enrolled
1955 COWELL BLVD, DAVIS, CA 95618(530) 757-3941(530) 757-3934 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Rodney W Roebuck Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RODNEY W ROEBUCK OD (NPI 1033268016) is an individual optometrist in Davis, California, licensed in California (7646T) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033268016
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameRODNEY W ROEBUCKCredential: OD
Location Address1955 COWELL BLVDDavis, CA 95618-6325
Mailing Address1955 Cowell BlvdDavis, CA 95618-6325 · (530) 757-3941 · Fax (530) 757-3934
Phone(530) 757-3941
Fax(530) 757-3934
Sole ProprietorNo
Enumeration DateJanuary 9, 2007
Last NPPES UpdateJanuary 3, 2022
✔ NPI 1033268016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in CA · 7646T
Definition
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.
1955 COWELL BLVD, Davis, CA 95618
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rodney W Roebuck Od is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Rodney Roebuck reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
40 mi
Internal Medicine
975 SERENO DRIVE
Vallejo, CA 94589
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1336222397 (707) 651-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95618 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$137.20 typical visit price
range $60.44 – $180.85
Typical copayment $34.30 (range $15.11 – $45.21)
Most-billed visit code 99204
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUZANNE L. BIER MD
Obstetrics & Gynecology
1955 COWELL BLVD
DAVIS, CA 95618
Yolo County (916) 757-7100
LINDA LEONG LEE PHARM.D.
Pharmacist
1955 COWELL BLVD
DAVIS, CA 95618
Yolo County (530) 757-4024
KA THAO MD
Family Medicine
1955 COWELL BLVD
DAVIS, CA 95618
Yolo County (530) 757-7100
CAROLYN ALYCE JIANG DO
Family Medicine
1955 COWELL BLVD
DAVIS, CA 95618
Yolo County (530) 757-7100
MARK D. HO MD
Internal Medicine
1955 COWELL BLVD
DAVIS, CA 95618
Yolo County (916) 757-7100
YVONNE S. OTANI MD
Pediatrics
1955 COWELL BLVD
DAVIS, CA 95618
Yolo County (916) 757-7100
JAMES BUCK RPH
Pharmacist
1955 COWELL BLVD
DAVIS, CA 95618
Yolo County (503) 757-4024
MS. PAMELA ANNE MONROE N.P.
Nurse Practitioner (Women's Health)
1955 COWELL BLVD
DAVIS, CA 95618
Yolo County (530) 757-4155

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rodney Roebuck's NPI number?

The NPI number for Rodney Roebuck is 1033268016. It was assigned to this individual provider in the NPPES registry on January 9, 2007.

Where is Rodney Roebuck located?

Rodney Roebuck practices at 1955 Cowell Blvd, Davis, CA 95618. The listed phone number is (530) 757-3941.

What is Rodney Roebuck's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Rodney Roebuck enrolled in Medicare?

Yes. Rodney Roebuck is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rodney Roebuck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rodney Roebuck reassigns Medicare benefits to Permanente Medical Group Inc (Vallejo, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rodney Roebuck's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rodney Roebuck was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.