Active NPI
Ronald Sidney Pogach, O.D.
- Optometrist
- Wilmington, DE
National Provider Identifier
1013087725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Practice address
- 5503 Kirkwood Hwy
Wilmington, DE 19808-5001 - Phone
- (302) 994-3300
- Fax
- (302) 994-3782
- NPI assigned
- Nov 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | DE | Primary |
Addresses
Primary practice location
5503 Kirkwood Hwy
Wilmington, DE 19808-5001
Mailing address
5503 Kirkwood Hwy
Wilmington, DE 19808-5001
Phone (302) 994-3300
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DE1130 | Other | DE | VBA I.D. |
| 81370 | Other | DE | SPECTERA I.D. |
| 33296 | Other | DE | COVENTRY I.D. |
| 30504 | Other | DE | GVA I.D. |
| 51-0228512 DE 1130 | Other | DE | EYEMED I.D. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 130001130 | DE | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Ronald Pogach | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Corneal and Contact Management Optometrist
- Wilmington, DE
- NPI 1992982318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188432000000",
"number": "1013087725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5503 KIRKWOOD HWY",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198085001",
"telephone_number": "302-994-3300",
"fax_number": "302-994-3782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5503 KIRKWOOD HWY",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198085001",
"telephone_number": "302-994-3300",
"fax_number": "302-994-3782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POGACH",
"first_name": "RONALD",
"middle_name": "SIDNEY",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2007-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "DE",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VBA I.D.",
"identifier": "DE1130",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SPECTERA I.D.",
"identifier": "81370",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY I.D.",
"identifier": "33296",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GVA I.D.",
"identifier": "30504",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED I.D.",
"identifier": "51-0228512 DE 1130",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.