Individual provider Active NPI

Bryan Michael Rogoff, OD, MBA, MSC,

  • Optometrist
  • Pleasanton, CA
National Provider Identifier
1831212075
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT35348 Issued in CA
Practice address
6754 Bernal Ave Ste 740-204
Pleasanton, CA 94566-1232
Phone
(877) 423-3932
NPI assigned
Apr 10, 2007
Last updated
Apr 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OP833 DC
Optometrist 152W00000X TA1645 MD
Optometrist 152W00000X 046-009321 IL
Optometrist 152W00000X OPT35348 CA Primary

Addresses

Primary practice location

6754 Bernal Ave Ste 740-204
Pleasanton, CA 94566-1232

Mailing address

6754 Bernal Ave Ste 740-204
Pleasanton, CA 94566-1232

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)
Enrolled
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
OPT35348CAMDOptometrist
OP833DCMDOptometrist
046-009321ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Baltimore Optical Inc Optometrist CurrentSince Jul 28, 2019 Accepting new patients
America's Best Contacts & Eyeglasses Past Accepting new patients
National Vision, Inc. Optometrist Past Accepting new patients

Locations

6412 Reisterstown Rd
Baltimore, MD 21215
Phone (410) 764-9360

Organizations & group practices 3

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": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1831212075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6754 BERNAL AVE STE 740-204",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945661232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6754 BERNAL AVE STE 740-204",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945661232",
            "telephone_number": "877-423-3932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGOFF",
        "first_name": "BRYAN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "OD, MBA, MSC,",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "DC",
            "license": "OP833",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1645",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-009321",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT35348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.