Individual provider Active NPI

Ronald B Hanovice, DR

  • Ophthalmology Physician
  • Kingston, NY
National Provider Identifier
1215095393
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
149077-1 Issued in NY
Practice address
84 Hurley Ave
Kingston, NY 12401
Phone
(845) 338-3111
Fax
(845) 338-9356
NPI assigned
Dec 4, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 149077-1 NY Primary

Addresses

Primary practice location

84 Hurley Ave
Kingston, NY 12401

Mailing address

84 Hurley Ave
Kingston, NY 12401
Phone (845) 338-3111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171130002004 MA Practitioner - Ophthalmology 0840470761 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
149077-1NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Eye Surgeons Ophthalmology CurrentSince Dec 13, 2017 Accepting new patients
Associated Eye Surgeons Ophthalmology PastSince Dec 13, 2017 Accepting new patients
Cheema MD Eye Care, PLLC Ophthalmology PastSince Jul 6, 2019 Accepting new patients

Locations

45 Resnik Rd
Ste 301
Plymouth, MA 02360
Phone (508) 747-4748

441 Route 130
Ste 10
Sandwich, MA 02563
Phone (508) 747-4748

Organizations & group practices 3

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215095393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 HURLEY AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "12401",
            "telephone_number": "845-338-3111",
            "fax_number": "845-338-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 HURLEY AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "12401",
            "telephone_number": "845-338-3111",
            "fax_number": "845-338-9356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANOVICE",
        "first_name": "RONALD",
        "middle_name": "B",
        "credential": "DR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "149077-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.