Active NPI
Roger D. Ammon, O.D.
- Optometrist
- Wilmington, DE
National Provider Identifier
1144311010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- I3-0001250
- Practice address
- 2205 Concord Pike
Wilmington, DE 19803-2908 - Phone
- (302) 655-1952
- Fax
- (302) 655-1952
- NPI assigned
- Sep 27, 2006
- Last updated
- Dec 9, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | I3-0001250 | DE | Primary |
| Optometrist | 152W00000X | OEG000774 | PA |
Addresses
Primary practice location
2205 Concord Pike
Wilmington, DE 19803-2908
Mailing address
2205 Concord Pike
Wilmington, DE 19803-2908
Phone (302) 655-1952
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Pennsylvania College of Optometry, 1999
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2205 Concord Pike
Wilmington, DE 19803-2908
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OEG000774 | PA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aeg Delaware Professional PA | Optometrist | Current | Accepting new patients |
| In Vision Eye Care, Inc. | Optometrist | Current | Accepting new patients |
Locations
210 Lantana Dr
Hockessin, DE 19707
Phone (302) 235-7031
2205 Concord Pike
Wilmington, DE 19803
Phone (302) 655-1952
Organizations & group practices 2
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": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260316800000",
"number": "1144311010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2205 CONCORD PIKE",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198032908",
"telephone_number": "302-655-1952",
"fax_number": "302-655-5601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2205 CONCORD PIKE",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198032908",
"telephone_number": "302-655-1952",
"fax_number": "302-655-1952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMMON",
"first_name": "ROGER",
"middle_name": "D.",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2009-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "DE",
"license": "I3-0001250",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OEG000774",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.