Organization Active NPI

William Roberts Optometry, PLLC

Doing business as Wink Eye Care

  • Optometrist
  • Orlando, FL
National Provider Identifier
1457853632
Registry record updated Mar 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5191 Issued in FL
Legal business name
WILLIAM ROBERTS OPTOMETRY, PLLC
Doing business as
Wink Eye Care
Practice address
4192 Conroy Rd Ste 111
Orlando, FL 32839-6417
Phone
(407) 209-3704
NPI assigned
Mar 5, 2018
Last updated
Mar 5, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2018

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

Authorized official

Name
William Rafael Roberts, ODNPI 1619327905
Title
Optometrist
Phone
(850) 218-6527

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC5191 FL Primary

Addresses

Primary practice location

4192 Conroy Rd Ste 111
Orlando, FL 32839-6417

Mailing address

5269 Wellington Park Cir Apt B22
Orlando, FL 32839-4624
Phone (850) 218-6527

Other names 1

  • Wink Eye Care Doing business as

National Provider Directory

National Provider Directory

Locations

4192 Conroy Rd
Ste 111
Orlando, FL 32839
Phone (407) 209-3695

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": "1520208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520208000000",
    "number": "1457853632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5269 WELLINGTON PARK CIR APT B22",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328394624",
            "telephone_number": "850-218-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4192 CONROY RD STE 111",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328396417",
            "telephone_number": "407-209-3704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM ROBERTS OPTOMETRY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-05",
        "last_updated": "2018-03-05",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "RAFAEL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "850-218-6527",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wink Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; 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.