Organization Active NPI

Dr. Rolando Ortiz, Optometrist, PLLC

  • Optometrist
  • Cary, NC
National Provider Identifier
1295093144
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2186 Issued in NC
Legal business name
DR. ROLANDO ORTIZ, OPTOMETRIST, PLLC
Practice address
836 E Chatham St Ste 106
Cary, NC 27511-6967
Phone
(919) 755-3444
Fax
(919) 755-3424
NPI assigned
Apr 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Authorized official

Name
Dr. Rolando Ortiz, O.D.NPI 1407006141
Title
President
Phone
(787) 538-9686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2186 NC Primary

Addresses

Primary practice location

836 E Chatham St Ste 106
Cary, NC 27511-6967

Mailing address

PO Box 1356
Morrisville, NC 27560-1356

Other identifiers 1

IdentifierTypeStateIssuer
5919279MedicaidNC

Other names 1

  • Bright Vision Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120507000001 NC Part B Supplier - Clinic/Group Practice 6103088323 Receives reassigned benefits from 1 practitioner
Practice locations: Cary, NC
O20180828000400 NC DME Supplier - Physician - Optometrist 6103088323 Practice locations: Cary, NC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Bright Vision Center836 E Chatham St, Cary, NC 27511-6917(919) 755-3444 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since May 2, 2012

National Provider Directory

National Provider Directory

Locations

836 E Chatham St
Ste 106
Cary, NC 27511
Phone (919) 755-3444

836 E Chatham St
Cary, NC 27511

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1335657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694131200000",
    "number": "1295093144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1356",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275601356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 E CHATHAM ST STE 106",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116967",
            "telephone_number": "919-755-3444",
            "fax_number": "919-755-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ROLANDO ORTIZ, OPTOMETRIST, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-29",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A",
        "authorized_official_last_name": "ORTIZ",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-538-9686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NC",
            "license": "2186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5919279",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bright Vision Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bright Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.