1. Home
  2. Directory
  3. Washington
  4. Lake Stevens
  5. Optometrist
  6. NPI Profile

DR. RODERICK BLAIR BEAZER O.D.
NPI 1790040673
Optometrist in Lake Stevens, WA

Active since July 07, 2012PECOS EnrolledAccepts Medicare Assignment
9623 32ND ST SE STE D121, LAKE STEVENS, WA 98258(425) 377-9747(425) 377-8757 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 28, 2020, Jan 26, 2016 (2 updates tracked since 2016).

About Dr. Roderick Blair Beazer O.d. NPPES

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

DR. RODERICK BLAIR BEAZER O.D. (NPI 1790040673) is an individual optometrist in Lake Stevens, Washington, licensed in Washington (OD60530417) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS and is a graduate of Southern College Of Optometry (2012).

NPPES Registry Identity

NPI1790040673
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. RODERICK BLAIR BEAZERCredential: O.D.
Location Address9623 32ND ST SE STE D121Lake Stevens, WA 98258-5780
Mailing Address9623 32nd St Se, Ste D121Lake Stevens, WA 98258-5780 · (717) 242-1915
Phone(425) 377-9747
Fax(425) 377-8757
Sole ProprietorYes
Medical School CMSSouthern College Of OptometryGraduated 2012
Enumeration DateJuly 7, 2012
Last NPPES UpdateOctober 28, 20202 updates tracked since enumeration
NPPES CertifiedOctober 28, 2020
✔ NPI 1790040673 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 WA · OD60530417
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.
9623 32ND ST SE STE D121, Lake Stevens, WA 98258
Open in Google Maps ↗

Other Identifiers 1

OtherOD60530417WA · Washington Department Of Health

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Roderick Blair Beazer O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668621699
PECOS Enrollment IDI20160125002522
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.

Areas of Expertise CMS Part B claims 2

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 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.
28 services28 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98258 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$71.29 typical visit price
range $18.56 – $141.11
Typical copayment $17.82 (range $4.64 – $35.27)
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

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

CASCADE FAMILY EYE CARE, PLLC
Optometrist
9623 32ND ST SE STE D121
LAKE STEVENS, WA 98258
Snohomish County (425) 377-9747

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 Roderick Beazer's NPI number?

The NPI number for Roderick Beazer is 1790040673. It was assigned to this individual provider in the NPPES registry on July 7, 2012.

Where is Roderick Beazer located?

Roderick Beazer practices at 9623 32nd St SE Ste D121, Lake Stevens, WA 98258. The listed phone number is (425) 377-9747.

What is Roderick Beazer's specialty?

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

Is Roderick Beazer enrolled in Medicare?

Yes. Roderick Beazer is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Roderick Beazer accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Roderick Beazer 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 Roderick Beazer was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.