Donald Wayne Rollins, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

7909T Issued in CA

Practice address

591 W Channel Islands Blvd.
Port Hueneme, CA 93041-2136

Phone

(805) 985-9591

Fax

(805) 985-9593

NPI assigned

Aug 24, 2006

Last updated

Apr 16, 2012By 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

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

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334534400000",
    "number": "1528175452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 W CHANNEL ISLANDS BLVD",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "930412136",
            "telephone_number": "805-985-9591",
            "fax_number": "805-985-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "591 W CHANNEL ISLANDS BLVD.",
            "city": "PORT HUENEME",
            "state": "CA",
            "postal_code": "930412136",
            "telephone_number": "805-985-9591",
            "fax_number": "805-985-9593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLINS",
        "first_name": "DONALD",
        "middle_name": "WAYNE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2012-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7909T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nickolas Vincent Ponce, IDC
• Ceferino Salcedo Quizon, M.D
• Martha Plagge Rabkin, DDS
• Marisol Valencia Rincon
• Patricia Roberts, AU.D.
• Joshua William Ross, SFIDC
• Diana Ruiz
• Ruben R Salcedo
• Marites Garma Salinda
• Heidi Sarte, PHARM. D

• Optometrist in Port Hueneme, CA
• Providers in Port Hueneme, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; 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.