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DR. MARISSA EMILY RODERICK O.D.
NPI 1508874280
Optometrist in Wichita, KS

Active since August 04, 2006
4600 W KELLOGG DR, SUITE 215, WICHITA, KS 67209(316) 943-0433 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Marissa Emily Roderick O.d. NPPES

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

DR. MARISSA EMILY RODERICK O.D. (NPI 1508874280) is an individual optometrist in Wichita, Kansas, licensed in Kansas (1752) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1508874280
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameDR. MARISSA EMILY RODERICKCredential: O.D.
Location Address4600 W KELLOGG DR, SUITE 215Wichita, KS 67209-2568
Mailing Address9911 E 21st St N, Apt 1307Wichita, KS 67206-3551 · (316) 636-9551
Phone(316) 943-0433
Sole ProprietorNo
Enumeration DateAugust 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1508874280 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 KS · 1752
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.
4600 W KELLOGG DR, Wichita, KS 67209
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Other Names 1

Former Name (1)Miss Marissa Emily Krug

Other Providers at the Same Location NPPES 5

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

MRS. THIEN-LAN NHAT NGUYEN O.D.
Optometrist
4600 W KELLOGG DR
WICHITA, KS 67209
Sedgwick County (316) 946-0105
KANSAS HEARINGTECHNOLOGIES
Hearing Instrument Specialist
4600 W KELLOGG DR
WICHITA, KS 67209
Sedgwick County (316) 945-9200
LUXOTTICA OF AMERICA INC.
Eyewear Supplier
4600 W KELLOGG DR, TOWN WEST SQUARE STE 215
WICHITA, KS 67209
Sedgwick County (316) 943-0306
KANSAS BETTER HEARING SOLUTIONS LLC
Hearing Instrument Specialist
4600 W KELLOGG DR
WICHITA, KS 67209
Sedgwick County (316) 945-9200
CARLA JANE MOSTELLER OD
Optometrist
4600 W KELLOGG DR, SUITE 215
WICHITA, KS 67209
Sedgwick County (316) 943-0433

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 Marissa Roderick's NPI number?

The NPI number for Marissa Roderick is 1508874280. It was assigned to this individual provider in the NPPES registry on August 4, 2006. The provider is also known as Miss Marissa Emily Krug.

Where is Marissa Roderick located?

Marissa Roderick practices at 4600 W Kellogg Dr Suite 215, Wichita, KS 67209. The listed phone number is (316) 943-0433.

What is Marissa Roderick's specialty?

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

When was this NPI record last updated?

The NPPES record for Marissa Roderick was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.