William Raaka, M.D. Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

A22847 Issued in CA

Legal business name

WILLIAM RAAKA, M.D. INC.

Practice address

181 Andrieux St
Suite 100
Sonoma, CA 95476-6920

Phone

(707) 996-1622

Fax

(707) 996-4000

NPI assigned

Apr 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. William Raaka, M.D.

Title

President

Phone

(707) 996-1622

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1184899130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 ANDRIEUX ST",
            "address_2": "SUITE 100",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766920",
            "telephone_number": "707-996-1622",
            "fax_number": "707-996-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 ANDRIEUX ST",
            "address_2": "SUITE 100",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954766920",
            "telephone_number": "707-996-1622",
            "fax_number": "707-996-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM RAAKA, M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-29",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "RAAKA",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-996-1622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "CA",
            "license": "A22847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A228470",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Sonoma, CA
• Providers in Sonoma, CA by specialty
• Eyewear Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.