Michael A Roy, O D INC

Primary specialty

OptometristTaxonomy code 152W00000X

License

5326T Issued in CA

Practice address

675 Ygnacio Valley Rd
Suite B103
Walnut Creek, CA 94596-3860

Phone

(925) 933-4700

Fax

(925) 933-4721

NPI assigned

Sep 2, 2005

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Insight Vision Care Optometry

  • Optometrist
  • Walnut Creek, CA
  • NPI 1275903148
  NPD

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1770577892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 YGNACIO VALLEY RD",
            "address_2": "SUITE B103",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963860",
            "telephone_number": "925-933-4700",
            "fax_number": "925-933-4721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 YGNACIO VALLEY RD",
            "address_2": "SUITE B103",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945963860",
            "telephone_number": "925-933-4700",
            "fax_number": "925-933-4721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "O D INC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5326T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gierose Roussell
• Kaitlyn Sierra Routzen, CNM, WH-NP
• Linda H. Row, MD
• Peter Hamlin Rowe, M.D.
• Julia Rowland, FNP
• Chelsea Royal-Hann
• Pamela Roza-Bohrk
• Ezgi Rozenshteyn, LMFT
• Blanca Rosa Ruan
• Susan Laurie Rubenfeld, LCSW

• All providers in Walnut Creek, CA
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.