Active NPI
Ronald S Shigio, O.D.
- Optometrist
- Walnut Creek, CA
National Provider Identifier
1174658983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 5334
- Practice address
- 325 N Wiget LN
Suite 120
Walnut Creek, CA 94598-2435 - Phone
- (925) 937-6870
- Fax
- (925) 937-3282
- NPI assigned
- Feb 22, 2007
- 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 | 5334 | CA | Primary |
Addresses
Primary practice location
325 N Wiget LN
Suite 120
Walnut Creek, CA 94598-2435
Mailing address
325 N Wiget LN
Suite 120
Walnut Creek, CA 94598-2435
Phone (925) 937-6870
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174658983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 N WIGET LN",
"address_2": "SUITE 120",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982435",
"telephone_number": "925-937-6870",
"fax_number": "925-937-3282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 N WIGET LN",
"address_2": "SUITE 120",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982435",
"telephone_number": "925-937-6870",
"fax_number": "925-937-3282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIGIO",
"first_name": "RONALD",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "5334",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.