Individual provider Active NPI

Robyn Sue Rakov, OD

  • Vision Therapy Optometrist
  • Laguna Hills, CA
National Provider Identifier
1083758957
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
6535T Issued in CA
Practice address
25301 Cabot Road
Suite Number 112
Laguna Hills, CA 92653-5511
Phone
(949) 768-7225
Fax
(949) 768-7514
NPI assigned
Feb 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X 6535T CA Primary

Addresses

Primary practice location

25301 Cabot Road
Suite Number 112
Laguna Hills, CA 92653-5511

Mailing address

25301 Cabot Road
Suite Number 112
Laguna Hills, CA 92653-5511
Phone (949) 768-7225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20060310000673 CA Practitioner - Optometry 7911914221 Practice locations: Laguna Hills, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6535TCAMDVision Therapy Optometrist
6535CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
April Spurling, OD, Optometry a Professional Corporation PastSince Oct 6, 2021 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.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269907200000",
    "number": "1083758957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25301 CABOT ROAD",
            "address_2": "SUITE NUMBER 112",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535511",
            "telephone_number": "949-768-7225",
            "fax_number": "949-768-7514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25301 CABOT ROAD",
            "address_2": "SUITE NUMBER 112",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535511",
            "telephone_number": "949-768-7225",
            "fax_number": "949-768-7514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAKOV",
        "first_name": "ROBYN",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-16",
        "last_updated": "2010-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CA",
            "license": "6535T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.