NPIMap

Organization Active NPI

Roger H Phelps OD, Inc.

Doing business as OjaiEyes Optometry

  • Optometrist
  • Ojai, CA
National Provider Identifier
1972518348
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT5196TPA Issued in CA
Legal business name
ROGER H PHELPS OD, INC.
Doing business as
OjaiEyes Optometry
Practice address
216 E Matilija St
Ojai, CA 93023-2722
Phone
(805) 646-2020
Fax
(805) 646-5054
NPI assigned
Jul 31, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Roger Harold Phelps, O.D.NPI 1487872198
Title
President/Owner/Optometrist
Phone
(805) 646-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT5196TPA CA Primary

Addresses

Primary practice location

216 E Matilija St
Ojai, CA 93023-2722

Mailing address

216 E Matilija St
Ojai, CA 93023-2722
Phone (805) 646-2020

Other identifiers 2

IdentifierTypeStateIssuer
YYY34585YMedicaidCA
GSD003090MedicaidCA

Other names 1

  • OjaiEyes Optometry Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972518348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 E MATILIJA ST",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "930232722",
            "telephone_number": "805-646-2020",
            "fax_number": "805-646-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 E MATILIJA ST",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "930232722",
            "telephone_number": "805-646-2020",
            "fax_number": "805-646-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER H PHELPS OD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHELPS",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "PRESIDENT/OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "805-646-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT5196TPA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "YYY34585Y",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD003090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OjaiEyes Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ojai, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.