Active NPI
Ronald William Szabo, O.D.
- Optometrist
- Portage, IN
National Provider Identifier
1194719369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1479
- Practice address
- 3151 Willowcreek Rd
Portage, IN 46368-4446 - Phone
- (219) 762-2111
- Fax
- (219) 763-7899
- NPI assigned
- Sep 2, 2005
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1479 | IN | Primary |
Addresses
Primary practice location
3151 Willowcreek Rd
Portage, IN 46368-4446
Mailing address
6320 Lakewood Ave
Portage, IN 46368-2235
Phone (219) 762-1061
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1479 | IN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1194719369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6320 LAKEWOOD AVE",
"city": "PORTAGE",
"state": "IN",
"postal_code": "463682235",
"telephone_number": "219-762-1061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3151 WILLOWCREEK RD",
"city": "PORTAGE",
"state": "IN",
"postal_code": "463684446",
"telephone_number": "219-762-2111",
"fax_number": "219-763-7899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SZABO",
"first_name": "RONALD",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-02",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IN",
"license": "1479",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portage, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.