Organization Active NPI

Ronald Lee Harris

Doing business as Sonoma Eye Care Optometric Associates

  • Optometrist
  • Rohnert Park, CA
National Provider Identifier
1265663769
Registry record updated Nov 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
04916T Issued in CA
Legal business name
RONALD LEE HARRIS
Doing business as
Sonoma Eye Care Optometric Associates
Practice address
6040 Commerce Blvd
Ste. 109
Rohnert Park, CA 94928-2181
Phone
(707) 585-2020
Fax
(707) 585-2563
NPI assigned
Jul 31, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2010

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

Authorized official

Name
Dr. Ronald L. Harris, O.D.
Title
Ownner
Phone
(707) 585-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 04916T CA Primary

Addresses

Primary practice location

6040 Commerce Blvd
Ste. 109
Rohnert Park, CA 94928-2181

Mailing address

6040 Commerce Blvd
Ste. 109
Rohnert Park, CA 94928-2181
Phone (707) 585-2020

Other identifiers 1

IdentifierTypeStateIssuer
SD0049161MedicaidCA

Other names 1

  • Sonoma Eye Care Optometric Associates Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289952000000",
    "number": "1265663769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6040 COMMERCE BLVD",
            "address_2": "STE. 109",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282181",
            "telephone_number": "707-585-2020",
            "fax_number": "707-585-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6040 COMMERCE BLVD",
            "address_2": "STE. 109",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282181",
            "telephone_number": "707-585-2020",
            "fax_number": "707-585-2563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD LEE HARRIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-31",
        "last_updated": "2010-11-17",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNNER",
        "authorized_official_telephone_number": "707-585-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "04916T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0049161",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sonoma Eye Care Optometric Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rohnert Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2010; 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.