Dr Ronald Sealock

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

S371TA081 Issued in AL

Legal business name

DR RONALD SEALOCK

Practice address

1623 W Main St
Dothan, AL 36301-1315

Phone

(334) 793-9607

NPI assigned

Apr 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ronald H Sealock, ODNPI 1558346973

Title

Owner

Phone

(334) 793-9607

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Ronald H. Sealock, OD

  • Optometrist
  • Dothan, AL
  • NPI 1558346973
  NPD Authorized official

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1063686863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 W MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363011315",
            "telephone_number": "334-793-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 W MAIN ST",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363011315",
            "telephone_number": "334-793-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RONALD SEALOCK",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "SEALOCK",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "334-793-9607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "AL",
            "license": "S371TA081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000059644",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula Downie
• Gwendolyn Downing, MA
• Michael N Downing, MD
• Mary C Doyle, CRNA
• Philip M Dozier, MD
• Dr. Graham Psychiatric Services, LLC
• Dr. Joan L Kogelschatz, PHD
• Dranyx LLC
• Dranyx LLC
• Dranyx LLC

• Eyewear Supplier in Dothan, AL
• Providers in Dothan, AL by specialty
• Eyewear Supplier in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.