Individual provider Active NPI

Ron Bateman, O.D.

  • Vision Therapy Optometrist
  • Fort Collins, CO
National Provider Identifier
1275662371
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
OPT781 Issued in CO
Practice address
373 W Drake Road
Suite 3
Fort Collins, CO 80526-2881
Phone
(970) 223-7150
NPI assigned
Mar 5, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy Optometrist 152WV0400X OPT781 CO Primary

Addresses

Primary practice location

373 W Drake Road
Suite 3
Fort Collins, CO 80526-2881

Mailing address

373 W Drake Rd
Suite 3
Fort Collins, CO 80526-2881
Phone (970) 223-7150

Other identifiers 1

IdentifierTypeStateIssuer
08007817MedicaidCO

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
OPT781COMDVision Therapy Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ron Bateman, O.D. Vision Therapy PastSince Jan 1, 1975 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287360000000",
    "number": "1275662371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 W DRAKE RD",
            "address_2": "SUITE 3",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805262881",
            "telephone_number": "970-223-7150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 W DRAKE ROAD",
            "address_2": "SUITE 3",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805262881",
            "telephone_number": "970-223-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATEMAN",
        "first_name": "RON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2010-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "CO",
            "license": "OPT781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08007817",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Collins, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.