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SAMANTHA P RODRIGUEZ OD
NPI 1659630176
Optometrist in Simpsonville, SC

Active since May 04, 2012PECOS Enrolled
1 COLONY CENTRE WAY, SIMPSONVILLE, SC 29681(864) 458-3900(864) 967-9118 Get Directions Write a Review

NPPES record last updated: September 8, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Samantha P Rodriguez Od NPPES

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

SAMANTHA P RODRIGUEZ OD (NPI 1659630176) is an individual optometrist in Simpsonville, South Carolina, licensed in South Carolina (1961) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Greenville.

NPPES Registry Identity

NPI1659630176
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameSAMANTHA P RODRIGUEZCredential: OD
Location Address1 COLONY CENTRE WAYSimpsonville, SC 29681-3286
Mailing Address601 Halton RdGreenville, SC 29607-3403 · (864) 458-7956 · Fax (864) 458-8390
Phone(864) 458-3900
Fax(864) 967-9118
Sole ProprietorNo
Enumeration DateMay 4, 2012
Last NPPES UpdateSeptember 8, 2023
NPPES CertifiedSeptember 8, 2023
✔ NPI 1659630176 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 SC · 1961
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.
1 COLONY CENTRE WAY, Simpsonville, SC 29681
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Secondary Practice Location 1

Location 1601 Halton RdGreenville, SC 29607-3403 · Phone (864) 458-7956 · Fax (864) 458-8390

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha P Rodriguez 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 Samantha Rodriguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Jervey Eye Group, PA
Same address
Ophthalmology
1 COLONY CENTRE WAY
Simpsonville, SC 29681
  • Reassigned Medicare billing, South Carolina enrollment
  • 26 clinicians in this Medicare group
NPI 1447220710 (864) 458-3900

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

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
58 services48 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
39 services39 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
19 services19 patients
New patient problem focused exam of visual system 92002
A new patient problem-focused exam of the visual system is a basic evaluation of your eyes and vision. It includes checking your eye movements, visual acuity, and general eye health. It helps detect any potential issues early for timely treatment.
12 services12 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29681 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
$124.04 typical visit price
range $53.57 – $163.84
Typical copayment $31.01 (range $13.39 – $40.96)
Most-billed visit code 99204
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
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 3

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

CARL T BRUCE M.D.
Ophthalmology
1 COLONY CENTRE WAY
SIMPSONVILLE, SC 29681
Greenville County (864) 458-3900
WILLIAM DAVID COLEMAN O.D.
Optometrist
1 COLONY CENTRE WAY
SIMPSONVILLE, SC 29681
Greenville County (864) 963-2171
JERVEY EYE GROUP, PA
Ophthalmology
1 COLONY CENTRE WAY
SIMPSONVILLE, SC 29681
Greenville County (864) 458-3900

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 Samantha Rodriguez's NPI number?

The NPI number for Samantha Rodriguez is 1659630176. It was assigned to this individual provider in the NPPES registry on May 4, 2012.

Where is Samantha Rodriguez located?

Samantha Rodriguez practices at 1 Colony Centre Way, Simpsonville, SC 29681. The listed phone number is (864) 458-3900.

What is Samantha Rodriguez's specialty?

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

Is Samantha Rodriguez enrolled in Medicare?

Yes. Samantha Rodriguez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samantha Rodriguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Rodriguez reassigns Medicare benefits to Jervey Eye Group, PA (Simpsonville, SC). 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 Samantha Rodriguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Rodriguez accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 10 other insurers list Samantha Rodriguez 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 Samantha Rodriguez was last updated on September 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.