Organization Active NPI

Ronald M. Cedrone OD, LLC

  • Optometrist
  • South Portland, ME
National Provider Identifier
1013216431
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT607 Issued in ME
Legal business name
RONALD M. CEDRONE OD, LLC
Practice address
335 Maine Mall Rd
South Portland, ME 04106-3214
Phone
(207) 771-7968
Fax
(207) 771-7983
NPI assigned
Mar 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Authorized official

Name
Dr. Ronald Michael Cedrone, O.D.
Title
Optometrist
Phone
(207) 771-7968

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT607 ME Primary

Addresses

Primary practice location

335 Maine Mall Rd
South Portland, ME 04106-3214

Mailing address

335 Maine Mall Rd
South Portland, ME 04106-3214
Phone (207) 771-7968

Other identifiers 1

IdentifierTypeStateIssuer
0020827OtherMEMEDICARE PTAN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1013216431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 MAINE MALL RD",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063214",
            "telephone_number": "207-771-7968",
            "fax_number": "207-771-7983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 MAINE MALL RD",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041063214",
            "telephone_number": "207-771-7968",
            "fax_number": "207-771-7983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD M. CEDRONE OD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "CEDRONE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "207-771-7968",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "ME",
            "license": "OPT607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "0020827",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.