Individual provider Active NPI

Ronald J Simone, MD

  • Ophthalmology Physician
  • Geneva, IL
National Provider Identifier
1144212655
Registry record updated Mar 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036-045963 Issued in IL
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, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036045963MedicaidIL

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

LicenseStateTypeSpecialty
036-045963ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geneva Eye Clinic LTD CurrentSince Jan 5, 2020 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.

Verify at the official NPI Registry.