Individual provider Active NPI

Robert NMN Bojarski, D.O.

  • Optometrist
  • Chevy Chase, MD
National Provider Identifier
1801161583
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
DA0890 Issued in MD
Practice address
21 Wisconsin Cir
Chevy Chase, MD 20815-7001
Phone
(301) 986-6999
Fax
(301) 986-6991
NPI assigned
Mar 14, 2012
Last updated
Mar 14, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X DA0890 MD Primary

Addresses

Primary practice location

21 Wisconsin Cir
Chevy Chase, MD 20815-7001

Mailing address

21 Wisconsin Cir
Chevy Chase, MD 20815-7001
Phone (301) 986-6999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DA0890MDMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Eye Doctors PC Optometrist Past Accepting new patients
Luxoptics LLP Optometrist Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331683200000",
    "number": "1801161583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WISCONSIN CIR",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208157001",
            "telephone_number": "301-986-6999",
            "fax_number": "301-986-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WISCONSIN CIR",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208157001",
            "telephone_number": "301-986-6999",
            "fax_number": "301-986-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOJARSKI",
        "first_name": "ROBERT",
        "middle_name": "NMN",
        "name_prefix": "Mr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "DA0890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chevy Chase, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.