Organization Active NPI

William Rogoway OD

  • Optometrist
  • Corona, CA
National Provider Identifier
1982800082
Registry record updated Feb 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5324T Issued in CA
Legal business name
WILLIAM ROGOWAY OD
Practice address
734 N Main St
Corona, CA 92880
Phone
(951) 737-2020
Fax
(951) 737-2072
NPI assigned
Jun 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2008

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

Authorized official

Name
Dr. William Michael Rogoway, OD
Title
Optometrist Owner
Phone
(951) 737-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5324T CA Primary

Addresses

Primary practice location

734 N Main St
Corona, CA 92880

Mailing address

734 N Main St
Corona, CA 92880
Phone (951) 737-2020

Other identifiers 1

IdentifierTypeStateIssuer
GSD005681MedicaidCA

National Provider Directory

National Provider Directory

Locations

734 N Main St
Corona, CA 92878
Phone (909) 737-2020

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": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1982800082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 N MAIN ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92880",
            "telephone_number": "951-737-2020",
            "fax_number": "951-737-2072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 N MAIN ST",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92880",
            "telephone_number": "951-737-2020",
            "fax_number": "951-737-2072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM ROGOWAY OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "ROGOWAY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OPTOMETRIST OWNER",
        "authorized_official_telephone_number": "951-737-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5324T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GSD005681",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.