Active NPI
Ron P Kaiser, O.D.
- Optometrist
- Del Rio, TX
National Provider Identifier
1215060223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 06160TG
- Practice address
- 106 Miers St Ste a
Del Rio, TX 78840-3082 - Phone
- (830) 775-6567
- Fax
- (830) 768-3503
- NPI assigned
- Mar 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | 06160TG | TX | Primary |
Addresses
Primary practice location
106 Miers St Ste a
Del Rio, TX 78840-3082
Mailing address
106 Miers St
Suite a
Del Rio, TX 78840-3081
Phone (830) 775-6567
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00614U | Other | TX | U87685 |
| 147654102 | Medicaid | TX | |
| 80763Q | Other | TX | BLUE CROSS AND BLUE SHIEL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06160TG | TX | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R P K Unlimited Inc | Optometrist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Optometrist
- Del Rio, TX
- NPI 1093849960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325030400000",
"number": "1215060223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 MIERS ST",
"address_2": "SUITE A",
"city": "DEL RIO",
"state": "TX",
"postal_code": "788403081",
"telephone_number": "830-775-6567",
"fax_number": "830-768-3503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 MIERS ST STE A",
"city": "DEL RIO",
"state": "TX",
"postal_code": "788403082",
"telephone_number": "830-775-6567",
"fax_number": "830-768-3503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAISER",
"first_name": "RON",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-13",
"last_updated": "2011-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TX",
"license": "06160TG",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "U87685",
"identifier": "00614U",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "147654102",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIEL",
"identifier": "80763Q",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Del Rio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.