Active NPI
Ronald J Simone, MD
- Ophthalmology Physician
- Geneva, IL
National Provider Identifier
1144212655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 036-045963
- Practice address
- 1000 Randall Road Geneva Eye Clinic, LTD.
Ste 100
Geneva, IL 60134-2590 - Phone
- (630) 232-1282
- Fax
- (630) 232-7011
- NPI assigned
- Aug 19, 2005
- Last updated
- Mar 7, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 036-045963 | IL | Primary |
Addresses
Primary practice location
1000 Randall Road Geneva Eye Clinic, LTD.
Ste 100
Geneva, IL 60134-2590
Mailing address
1000 Randall Road Geneva Eye Clinic, LTD.
Ste 100
Geneva, IL 60134-2590
Phone (630) 232-1282
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036045963 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-045963 | IL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Geneva Eye Clinic LTD | Current | Accepting new patients |
Locations
1000 Randall Rd
Ste 100
Geneva, IL 60134
Phone (630) 232-1282
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394150400000",
"number": "1144212655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 RANDALL ROAD GENEVA EYE CLINIC, LTD.",
"address_2": "STE 100",
"city": "GENEVA",
"state": "IL",
"postal_code": "601342590",
"telephone_number": "630-232-1282",
"fax_number": "630-232-7011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 RANDALL ROAD GENEVA EYE CLINIC, LTD.",
"address_2": "STE 100",
"city": "GENEVA",
"state": "IL",
"postal_code": "601342590",
"telephone_number": "630-232-1282",
"fax_number": "630-232-7011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMONE",
"first_name": "RONALD",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2014-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": "036-045963",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036045963",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Geneva, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.