DR. RODNEY W BOURDAGE O.D.
NPI 1366591026
Optometrist in Waldport, OR

Q: What is Rodney Bourdage's NPI number?

The NPI number for Rodney Bourdage is 1366591026. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Q: What is Rodney Bourdage's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Rodney Bourdage was last updated on March 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since January 10, 2007

525 NW WILLOW, WALDPORT, OR 97394(541) 563-4100(541) 563-4468 Get Directions Write a Review

NPPES record last updated: March 13, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Dr. Rodney W Bourdage O.d. NPPES

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

DR. RODNEY W BOURDAGE O.D. (NPI 1366591026) is an individual optometrist in Waldport, Oregon, licensed in Oregon (1177AT) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1366591026

Entity TypeIndividualMale

Primary Taxonomy152W00000X

Provider Legal NameDR. RODNEY W BOURDAGECredential: O.D.

Location Address525 NW WILLOWWaldport, OR 97394-0888

Mailing AddressPo Box 888Waldport, OR 97394-0888 · (541) 563-4100 · Fax (541) 563-4468

Phone(541) 563-4100

Fax(541) 563-4468

Sole ProprietorYes

Enumeration DateJanuary 10, 2007

Last NPPES UpdateMarch 13, 2008

✔ NPI 1366591026 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 OR · 1177AT

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.

525 NW WILLOW, Waldport, OR 97394

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Other Identifiers 5

Medicare PINR139549OR

Medicaid236117OR

Medicare PIN139549OR

Medicare PINR0000PGCRXOR

Medicare UPINT67442OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Other Providers at the Same Location NPPES

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

WALDPORT EYE CARE LLC

Optometrist

525 NW WILLOW
WALDPORT, OR 97394

Lincoln County (541) 563-4100

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 Bourdage's NPI number?

The NPI number for Rodney Bourdage is 1366591026. It was assigned to this individual provider in the NPPES registry on January 10, 2007.

Where is Rodney Bourdage located?

Rodney Bourdage practices at 525 NW Willow, Waldport, OR 97394. The listed phone number is (541) 563-4100.

What is Rodney Bourdage's specialty?

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

What insurance does Rodney Bourdage accept?

Health plans from PacificSource Health Plans list Rodney Bourdage as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rodney Bourdage was last updated on March 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.