Michael D Rohla, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

5756T Issued in CA

Practice address

1118 E Grand Ave
Arroyo Grande, CA 93420-2590

Phone

(805) 489-5577

Fax

(805) 489-2588

NPI assigned

Nov 15, 2005

Last updated

Oct 1, 2008By the provider in NPPES

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

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in CA

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arroyo Grande Optometry, Inc.

  • Clinic/Center
  • Arroyo Grande, CA
  • NPI 1194365023
  NPD (past)

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222819200000",
    "number": "1427030519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 E GRAND AVE",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934202590",
            "telephone_number": "805-489-5577",
            "fax_number": "805-489-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 E GRAND AVE",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934202590",
            "telephone_number": "805-489-5577",
            "fax_number": "805-489-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROHLA",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2008-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5756T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0057560",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CEN CAL",
            "identifier": "14270305965",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "SCWI0",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "953295965",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Avery M Ringquist, PT, DPT
• Rising Phoenix Community Organization
• Rising Phoenix Community Organization
• Victoria S Roberts, LCSW
• Sienna Robertson
• Milena Maria Romani, SLP
• Darci Rose, DC
• Whitney Leigh Rosilez, PHARMD
• Liza Roth, AMFT
• Julia M Rounds, MS PSYCHOLOGY

• Optometrist in Arroyo Grande, CA
• Providers in Arroyo Grande, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2008; 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.