NPIMap

Organization Active NPI

Michael a. Roy, O.D. Inc.

Doing business as Roy Optometric Center

  • Health Service Clinic/Center
  • Walnut Creek, CA
National Provider Identifier
1366749459
Registry record updated Mar 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
5326T Issued in CA
Legal business name
MICHAEL A. ROY, O.D. INC.
Doing business as
Roy Optometric Center
Practice address
675 Ygnacio Valley Rd
Suite B103
Walnut Creek, CA 94596-3860
Phone
(925) 933-4700
Fax
(925) 933-4721
NPI assigned
Feb 25, 2011
Last updated
Mar 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2013

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

Authorized official

Name
Dr. Michael Alfred Roy, O.D.NPI 1770577892
Title
Owner
Phone
(925) 933-4700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 5326T CA Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

675 Ygnacio Valley Rd
Suite B103
Walnut Creek, CA 94596-3860

Mailing address

675 Ygnacio Valley Rd
Suite B103
Walnut Creek, CA 94596-3860
Phone (925) 933-4700

Other names 1

  • Roy Optometric Center Doing business as

National Provider Directory

National Provider Directory

Locations

675 Ygnacio Valley Rd
Ste B103
Walnut Creek, CA 94596
Phone (925) 933-0270

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364169600000",
    "number": "1366749459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 YGNACIO VALLEY RD",
            "address_2": "SUITE B103",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963860",
            "telephone_number": "925-933-4700",
            "fax_number": "925-933-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 YGNACIO VALLEY RD",
            "address_2": "SUITE B103",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963860",
            "telephone_number": "925-933-4700",
            "fax_number": "925-933-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A. ROY, O.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-25",
        "last_updated": "2013-03-25",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALFRED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-933-4700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "5326T",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roy Optometric Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 25, 2013; 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.