Individual provider Active NPI

Ronald A Pycraft, O.D.

  • Optometrist
  • Mansfield, OH
National Provider Identifier
1285647362
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3627 Issued in OH
Practice address
1456 Park Ave W
Mansfield, OH 44906-2700
Phone
(419) 529-4602
NPI assigned
Aug 13, 2006
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
Optometrist 152W00000X 3627 OH Primary

Addresses

Primary practice location

1456 Park Ave W
Mansfield, OH 44906-2700

Mailing address

306 Oakley Rd
Wooster, OH 44691-2130
Phone (330) 264-1452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20210413002560 OH Practitioner - Optometry 9931517810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pycraft Family Eye Care LTDGroup PAC ID 3072872621, 3 clinicians

Practice addresses (Care Compare)

470 E Milltown Rd
Suite B
Wooster, OH 44691-1250
Phone (330) 601-0393

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3627OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Pycraft Family Eye Care LTD Optometrist CurrentSince Apr 1, 2021 Accepting new patients
Pycraft Family Eye Care LTD Optometrist CurrentSince Apr 1, 2021 Accepting new patients

Locations

106 N Main St
Orrville, OH 44667
Phone (330) 682-1276

470 E Milltown Rd
#B
Wooster, OH 44691
Phone (330) 345-8300

Organizations & group practices 2

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285647362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 OAKLEY RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912130",
            "telephone_number": "330-264-1452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 PARK AVE W",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449062700",
            "telephone_number": "419-529-4602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYCRAFT",
        "first_name": "RONALD",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

Verify at the official NPI Registry.