Individual provider Active NPI

Ronan Eugene Omalley, MD

  • Ophthalmology Physician
  • Houston, TX
National Provider Identifier
1194719765
Registry record updated Feb 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
F3267 Issued in TX
Practice address
6560 Fannin St
Ste 750
Houston, TX 77030-2727
Phone
(713) 524-3434
Fax
(713) 524-3220
NPI assigned
Sep 9, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X F3267 TX Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X F3267 TX

Addresses

Primary practice location

6560 Fannin St
Ste 750
Houston, TX 77030-2727

Mailing address

6560 Fannin St
Ste 750
Houston, TX 77030-2761
Phone (713) 524-3434

Other identifiers 1

IdentifierTypeStateIssuer
128348306MedicaidTX

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
F3267TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ronan O'Malley, MD & Adrian O'Malley, MD PA Ophthalmology CurrentSince Sep 26, 2008 Accepting new patients
Retina Consultants of Houston PLLC Ophthalmology Past Accepting new patients

Locations

6750 West Loop S
Ste 1060
Bellaire, TX 77401
Phone (713) 521-0555

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517529600000",
    "number": "1194719765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST",
            "address_2": "STE 750",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302761",
            "telephone_number": "713-524-3434",
            "fax_number": "713-524-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 FANNIN ST",
            "address_2": "STE 750",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770302727",
            "telephone_number": "713-524-3434",
            "fax_number": "713-524-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OMALLEY",
        "first_name": "RONAN",
        "middle_name": "EUGENE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2018-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "F3267",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "TX",
            "license": "F3267",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128348306",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2018; 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.