Provider Demographics
NPI:1316926454
Name:RODMAN, TASKER NEWTON II (OD)
Entity type:Individual
Prefix:DR
First Name:TASKER
Middle Name:NEWTON
Last Name:RODMAN
Suffix:II
Gender:M
Credentials:OD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:11225 HURON LN STE 200A
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-1861
Mailing Address - Country:US
Mailing Address - Phone:501-225-9944
Mailing Address - Fax:501-225-9933
Practice Address - Street 1:2900 HORIZON DR STE 15
Practice Address - Street 2:
Practice Address - City:BRYANT
Practice Address - State:AR
Practice Address - Zip Code:72022-9095
Practice Address - Country:US
Practice Address - Phone:501-653-2020
Practice Address - Fax:501-653-7407
Is Sole Proprietor?:No
Enumeration Date:2006-01-16
Last Update Date:2020-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2168152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR164094722Medicaid
AR164094722Medicaid
AR0492190001OtherPALMETTO
ART20193Medicare UPIN
AR0492190001OtherPALMETTO