David A Rojek, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

VUT004180-1 Issued in NY

Practice address

11 Church St
Gloversville, NY 12078-3049

Phone

(518) 725-5416

Fax

(518) 725-3811

NPI assigned

Feb 15, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1992848204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 LAKE AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662627",
            "telephone_number": "518-584-2620",
            "fax_number": "518-584-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CHURCH ST",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120783049",
            "telephone_number": "518-725-5416",
            "fax_number": "518-725-3811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 Lake Ave",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128662627",
            "country_code": "US",
            "telephone_number": "518-584-2620",
            "fax_number": "518-584-3979",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15 W Main St",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "NY",
            "postal_code": "128161168",
            "country_code": "US",
            "telephone_number": "518-677-5422",
            "fax_number": "518-677-5134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROJEK",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT004180-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00852048",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Gloversville, NY
• Providers in Gloversville, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.