Active NPI
Ronald Dennis Roy, O.D.
- Optometrist
- Sanford, ME
National Provider Identifier
1235223496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPT 594
- Practice address
- 890 Main St
Suite 204
Sanford, ME 04073-3572 - Phone
- (207) 324-0400
- NPI assigned
- Oct 3, 2006
- 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 | OPT 594 | ME | Primary |
Addresses
Primary practice location
890 Main St
Suite 204
Sanford, ME 04073-3572
Mailing address
890 Main St
Suite 204
Sanford, ME 04073-3572
Phone (207) 324-0400
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 012-899-0001 | Other | ME | DMERC EYE AND EYEGLASSES |
| OPT 594 | Other | ME | OPTOMETRY LICENSE |
| E003463 | Other | ME | TRICARE EYE AND VISION |
| 3222448 | Other | ME | AETNA EYE AND VISION |
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 |
|---|---|---|---|
| OPT 594 | ME | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1235223496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 MAIN ST",
"address_2": "SUITE 204",
"city": "SANFORD",
"state": "ME",
"postal_code": "040733572",
"telephone_number": "207-324-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 MAIN ST",
"address_2": "SUITE 204",
"city": "SANFORD",
"state": "ME",
"postal_code": "040733572",
"telephone_number": "207-324-0400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROY",
"first_name": "RONALD",
"middle_name": "DENNIS",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ME",
"license": "OPT 594",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC EYE AND EYEGLASSES",
"identifier": "012-899-0001",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTOMETRY LICENSE",
"identifier": "OPT 594",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE EYE AND VISION",
"identifier": "E003463",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA EYE AND VISION",
"identifier": "3222448",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sanford, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.