Individual provider Active NPI

Joseph R Rogalinski, O.D.

  • Optometrist
  • San Antonio, TX
National Provider Identifier
1003888942
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5750TG Issued in TX
Practice address
8202 N Loop 1604 W Ste 105
San Antonio, TX 78249-2898
Phone
(210) 691-4733
Fax
(210) 691-3322
NPI assigned
Feb 5, 2006
Last updated
Feb 14, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 5750TG TX Primary

Addresses

Primary practice location

8202 N Loop 1604 W Ste 105
San Antonio, TX 78249-2898

Mailing address

8202 N Loop 1604 W Ste 105
San Antonio, TX 78249-2898
Phone (210) 691-4733

Other identifiers 1

IdentifierTypeStateIssuer
175784101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050714000754 TX Practitioner - Optometry 0042246621 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5750TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bexar Eye Care PLLC Optometrist CurrentSince Jul 27, 2024 Accepting new patients
Eye-Deal Vision, P.a. Optometrist Past Accepting new patients

Locations

8010 W 5th St
#3
Somerset, TX 78069
Phone (210) 691-4733

8010 W 5th St
Ste 3
Somerset, TX 78069
Phone (830) 429-7063

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297641600000",
    "number": "1003888942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8202 N LOOP 1604 W STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492898",
            "telephone_number": "210-691-4733",
            "fax_number": "210-691-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8202 N LOOP 1604 W STE 105",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782492898",
            "telephone_number": "210-691-4733",
            "fax_number": "210-691-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGALINSKI",
        "first_name": "JOSEPH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-05",
        "last_updated": "2011-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5750TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175784101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.