Kevin Jay Wogalter, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

1217 Issued in AZ

Practice address

9875 S Eastern Ave Unit 15E
Las Vegas, NV 89183-6976

Phone

(725) 231-9985

Fax

(702) 634-4101

NPI assigned

May 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Wogalter Vision LLC

  • Optometrist
  • Las Vegas, NV
  • NPI 1437876216
  Medicare reassignment NPD
• Spectera

  • Eyewear Supplier
  • Fairlawn, OH
  • NPI 1003832122
  NPD (past)
• Spectera

  • Eyewear Supplier
  • Maple Heights, OH
  • NPI 1295751303
  NPD (past)
• Spectera

  • Eyewear Supplier
  • Elyria, OH
  • NPI 1518983584
  NPD (past)
• Spectera

  • Eyewear Supplier
  • Strongsville, OH
  • NPI 1558387662
  NPD (past)
• Spectera

  • Eyewear Supplier
  • University Heights, OH
  • NPI 1568488690
  NPD (past)

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1316996895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9875 S EASTERN AVE UNIT 15E",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891836976",
            "telephone_number": "725-231-9985",
            "fax_number": "702-634-4101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9875 S EASTERN AVE UNIT 15E",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891836976",
            "telephone_number": "725-231-9985",
            "fax_number": "702-634-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOGALTER",
        "first_name": "KEVIN",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "1217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• WMK, LLC
• WMT Enterprises LLC
• Stephanie Wofford
• Tanisha Wofford
• Wogalter Vision LLC
• Arianna Elayne Woitte
• Cynthia Wojcik
• John J Wojcik, MD
• Candace Wolbert
• Sierra Wold, RN

• Optometrist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Optometrist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.