Individual provider Active NPI

Christopher John Roghair, O.D.

  • Optometrist
  • Rogers, MN
National Provider Identifier
1013366400
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3477 Issued in MN
Practice address
13900 Northdale Blvd
Rogers, MN 55374-9627
Phone
(763) 428-3757
Fax
(763) 428-9820
NPI assigned
Jun 7, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3477 MN Primary

Addresses

Primary practice location

13900 Northdale Blvd
Rogers, MN 55374-9627

Mailing address

110 W Grant St
Apartment 19G
Minneapolis, MN 55403-2309
Phone (312) 945-8949

Other practice location 1

1 Central Ave W Ste 104
Saint Michael, MN 55376-4590
Phone (763) 497-3754

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160707001384 MN Practitioner - Optometry 3375835614 Reassigns benefits to 3 organizations
I20210222002815 WI Practitioner - Optometry 3375835614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Falls Family Eye Care LLCGroup PAC ID 2264742584, 2 clinicians

Practice addresses (Care Compare)

660 N Main St
River Falls, WI 54022-1500
Phone (715) 425-7228

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3477MNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Falls Family Eye Care, LLC Optometrist CurrentSince Sep 29, 2020 Accepting new patients
D. Stanton Enterprises, LLC Optometrist CurrentSince Jun 1, 2017 Accepting new patients
Rivertown Eye Care PA Optometrist CurrentSince Aug 27, 2020 Accepting new patients
Sees the Day LTD Optometrist Past Accepting new patients
G. B. Ginsberg, O.D. Optometrist Past Accepting new patients

Locations

1011 N Frontage Rd
Hastings, MN 55033
Phone (651) 437-5469

13900 Northdale Blvd
Rogers, MN 55374
Phone (763) 428-3757

1 Central Ave W
Ste 104
Saint Michael, MN 55376
Phone (763) 493-3937

117 S Main St
River Falls, WI 54022
Phone (715) 425-7228

660 N Main St
River Falls, WI 54022
Phone (715) 425-7228

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013366400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W GRANT ST",
            "address_2": "APARTMENT 19G",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554032309",
            "telephone_number": "312-945-8949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13900 NORTHDALE BLVD",
            "city": "ROGERS",
            "state": "MN",
            "postal_code": "553749627",
            "telephone_number": "763-428-3757",
            "fax_number": "763-428-9820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Central Ave W Ste 104",
            "address_purpose": "LOCATION",
            "city": "Saint Michael",
            "state": "MN",
            "postal_code": "553764590",
            "country_code": "US",
            "telephone_number": "763-497-3754",
            "fax_number": "763-497-3811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGHAIR",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MN",
            "license": "3477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogers, MN

Sources for this page

Verify at the official NPI Registry.