Individual provider Active NPI

Ronald Genauer, O.D.

  • Corneal and Contact Management Optometrist
  • Salinas, CA
National Provider Identifier
1215072673
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
7470T Issued in CA
Practice address
172 E Laurel Dr
Salinas, CA 93906-2860
Phone
(831) 422-2224
Fax
(831) 757-4220
NPI assigned
Feb 21, 2007
Last updated
Nov 19, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7470T CA
Corneal and Contact Management Optometrist 152WC0802X 7470T CA Primary

Addresses

Primary practice location

172 E Laurel Dr
Salinas, CA 93906-2860

Mailing address

172 E Laurel Dr
Salinas, CA 93906-2860
Phone (831) 422-2224

Other identifiers 2

IdentifierTypeStateIssuer
94-2852587OtherFED. EMPLOYER ID
SD0074700-5MedicaidCA

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

LicenseStateTypeSpecialty
7470TCAMDOptometrist
7470CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353283200000",
    "number": "1215072673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 E LAUREL DR",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939062860",
            "telephone_number": "831-422-2224",
            "fax_number": "831-757-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 E LAUREL DR",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939062860",
            "telephone_number": "831-422-2224",
            "fax_number": "831-757-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENAUER",
        "first_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2012-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "7470T",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "CA",
            "license": "7470T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FED. EMPLOYER ID",
            "identifier": "94-2852587",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0074700-5",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.