Organization Active NPI

Ronald L Mearsha OD PC

  • Optometrist
  • Greeley, CO
National Provider Identifier
1063567014
Registry record updated Dec 13, 2013
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Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2140 Issued in CO
Legal business name
RONALD L MEARSHA OD PC
Practice address
2867 35TH Ave
Greeley, CO 80634-9407
Phone
(970) 353-5455
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2013

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

Authorized official

Name
Dr. Ronald Lee Mearsha, OD
Title
Owner
Phone
(970) 353-5455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2140 CO Primary

Addresses

Primary practice location

2867 35TH Ave
Greeley, CO 80634-9407

Mailing address

2867 35TH Ave
Greeley, CO 80634-9407
Phone (970) 353-5455

National Provider Directory

National Provider Directory

Locations

2867 35th Ave
Greeley, CO 80634
Phone (970) 346-1411

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386892800000",
    "number": "1063567014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2867 35TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806349407",
            "telephone_number": "970-353-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2867 35TH AVE",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806349407",
            "telephone_number": "970-353-5455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD L MEARSHA OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2013-12-13",
        "status": "A",
        "authorized_official_last_name": "MEARSHA",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-353-5455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CO",
            "license": "2140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greeley, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.