Active NPI
Dr. Wayne Ogata O.D. Inc.
- Optometrist
- Vallejo, CA
National Provider Identifier
1902840796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 9705T
- Legal business name
- DR. WAYNE OGATA O.D. INC.
- Practice address
- 4300 Sonoma Blvd
#508
Vallejo, CA 94589-2200 - Phone
- (707) 643-8891
- Fax
- (707) 644-8649
- NPI assigned
- Jun 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Wayne Kaneo Ogata, O.D.
- Title
- President
- Phone
- (707) 643-8891
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 9705T | CA | Primary |
Addresses
Primary practice location
4300 Sonoma Blvd
#508
Vallejo, CA 94589-2200
Mailing address
4300 Sonoma Blvd
#508
Vallejo, CA 94589-2200
Phone (707) 643-8891
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9705T | Other | CA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4456 Manzanita Ave
Ste C
Clearlake, CA 95422
Phone (707) 994-0707
4300 Sonoma Blvd
Ste 508
Vallejo, CA 94589
Phone (707) 643-8891
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Vallejo, CA
- NPI 1538100953
-
- Optometrist
- Clearlake, CA
- NPI 1992706220
-
- Internal Medicine Physician
- Clearlake, CA
- NPI 1578660916
-
- Optometrist
- Walnut Creek, CA
- NPI 1003456112
-
- Optometrist
- Anchorage, AK
- NPI 1568956563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1281052800000",
"number": "1902840796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 SONOMA BLVD",
"address_2": "#508",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945892200",
"telephone_number": "707-643-8891",
"fax_number": "707-644-8649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 SONOMA BLVD",
"address_2": "#508",
"city": "VALLEJO",
"state": "CA",
"postal_code": "945892200",
"telephone_number": "707-643-8891",
"fax_number": "707-644-8649"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. WAYNE OGATA O.D. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-15",
"last_updated": "2010-08-06",
"status": "A",
"authorized_official_last_name": "OGATA",
"authorized_official_first_name": "WAYNE",
"authorized_official_middle_name": "KANEO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "707-643-8891",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "CA",
"license": "9705T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "9705T",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vallejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.