Organization Active NPI

Dr. Ronald F. de la Fuente & Associates

  • Optometrist
  • Plano, TX
National Provider Identifier
1043497639
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5936TG Issued in TX
Legal business name
DR. RONALD F. DE LA FUENTE & ASSOCIATES
Practice address
1145 14TH St
2115
Plano, TX 75074-1119
Phone
(972) 424-7236
NPI assigned
Jan 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2008

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

Authorized official

Name
Dr. Ronald F. De la Fuente, O.D.
Title
Owner
Phone
(214) 529-1849

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5936TG TX Primary

Addresses

Primary practice location

1145 14TH St
2115
Plano, TX 75074-1119

Mailing address

1145 14TH St
2115
Plano, TX 75074-1119
Phone (972) 424-7236

Other names 1

  • Central Vision Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1145 14th St
Ste 2115
Plano, TX 75074
Phone (214) 766-3844

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1043497639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1145 14TH ST",
            "address_2": "2115",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750741119",
            "telephone_number": "972-424-7236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1145 14TH ST",
            "address_2": "2115",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750741119",
            "telephone_number": "972-424-7236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. RONALD F. DE LA FUENTE & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-25",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "DE LA FUENTE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-529-1849",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "5936TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plano, TX

Sources for this page

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