NPIMap

Organization Active NPI

Ronald J Martin OD a Professional Optometric Corporation

Doing business as Vision Health Optometry

  • Optometrist
  • Rohnert Park, CA
National Provider Identifier
1457756280
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
11182T Issued in CA
Legal business name
RONALD J MARTIN OD A PROFESSIONAL OPTOMETRIC CORPORATION
Doing business as
Vision Health Optometry
Practice address
1440 Medical Center Dr
Suite 2
Rohnert Park, CA 94928-2987
Phone
(707) 206-0290
Fax
(707) 585-8018
NPI assigned
Oct 22, 2014
Last updated
Oct 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Authorized official

Name
Dr. Ronald James Martin, O.D.NPI 1528142122
Title
President
Phone
(707) 206-0290

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 11182T CA Primary

Addresses

Primary practice location

1440 Medical Center Dr
Suite 2
Rohnert Park, CA 94928-2987

Mailing address

1440 Medical Center Dr
Suite 2
Rohnert Park, CA 94928-2987
Phone (707) 206-0290

Other names 1

  • Vision Health Optometry Doing business as

National Provider Directory

National Provider Directory

Locations

1440 Medical Center Dr
Rohnert Park, CA 94928
Phone (707) 206-0290

1440 Medical Center Dr
Ste 2
Rohnert Park, CA 94928
Phone (707) 206-0290

Practitioners & affiliated clinicians

Practitioners 1

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": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1457756280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 MEDICAL CENTER DR",
            "address_2": "SUITE 2",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282987",
            "telephone_number": "707-206-0290",
            "fax_number": "707-585-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 MEDICAL CENTER DR",
            "address_2": "SUITE 2",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282987",
            "telephone_number": "707-206-0290",
            "fax_number": "707-585-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD J MARTIN OD A PROFESSIONAL OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-206-0290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "11182T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Health Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rohnert Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.