Yury Ronin, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

8032T Issued in TX

Practice address

350 E Interstate 20
Arlington, TX 76018-1119

Phone

(817) 784-0222

Fax

(817) 467-5819

NPI assigned

Jul 12, 2012

Last updated

Jul 21, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University of Houston - College of Optometry, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Southlake Vision Group PLLC

  • Optometrist
  • Southlake, TX
  • NPI 1114438017
  Medicare reassignment NPD Authorized official
• Tami L.Hannaman, O.D., P.a.

  • Optometrist
  • Southlake, TX
  • NPI 1922284728
  NPD (past)
• Staten Island Physician Practice PC

  dba AdvantageCare Physicians

  • Internal Medicine Physician
  • New York, NY
  • NPI 1568413169
  NPD (past)

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

{
    "created_epoch": "1342051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1255696555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 E INTERSTATE 20",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760181119",
            "telephone_number": "817-784-0222",
            "fax_number": "817-467-5819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 E INTERSTATE 20",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760181119",
            "telephone_number": "817-784-0222",
            "fax_number": "817-467-5819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3645 Dallas Pkwy Ste 545",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750938167",
            "country_code": "US",
            "telephone_number": "214-440-5200",
            "fax_number": "214-440-5201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1825 E Southlake Blvd",
            "address_purpose": "LOCATION",
            "city": "Southlake",
            "state": "TX",
            "postal_code": "760926501",
            "country_code": "US",
            "telephone_number": "800-714-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RONIN",
        "first_name": "YURY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "8032T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rolasdot LLC
• Stella Romero
• Victoria Romero
• Vita Romero
• Candice Ronemus, LPC
• Roo Home Care LLC (Paid.care)
• Rook Medical Consultants, PA
• Tina Prakash Roopani, D.O.
• Rootmama Maternal Care (RootMama)
• Tara Roper

• Optometrist in Arlington, TX
• Providers in Arlington, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.