Wogalter Vision LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

WOGALTER VISION LLC

Practice address

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

Phone

(725) 231-9985

Fax

(702) 634-4101

NPI assigned

Oct 24, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Damaris Rivera

Title

Credentialing Coordinator

Phone

(334) 263-9378

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

Practitioners 1

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

• Kevin Jay Wogalter, O.D.

  • Optometrist
  • Las Vegas, NV
  • NPI 1316996895
  Medicare reassignment NPD

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1437876216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3123 HAZY HILLS AVE",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524536",
            "telephone_number": "702-286-8534"
        },
        {
            "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": {
        "organization_name": "WOGALTER VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "DAMARIS",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "334-263-9378",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "kwvisionpi@gmail.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9875 S Eastern Ave Unit 15E",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891836976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Roshae R Wlson
• WMK, LLC
• WMT Enterprises LLC
• Stephanie Wofford
• Tanisha Wofford
• Kevin Jay Wogalter, O.D.
• Arianna Elayne Woitte
• Cynthia Wojcik
• John J Wojcik, MD
• Candace Wolbert

• 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 Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.