Ronald Eugene McCord, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 002078 Issued in FL

Practice address

1701 SE Tiffany Ave
Ste 105
Port St Lucie, FL 34952-7576

Phone

(772) 335-2209

Fax

(772) 337-9177

NPI assigned

Aug 26, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

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 and National Provider Directory roles.

• Coastal Eye Center PA

  • Ophthalmology Physician
  • Stuart, FL
  • NPI 1265659403
  Medicare reassignment NPD
• Ronald E McCord OD PA

  • Optometrist
  • Port St Lucie, FL
  • NPI 1801880521
  NPD (past) Authorized official
• Amyx Optical Inc

  • Eyewear Supplier
  • Port Saint Lucie, FL
  • NPI 1922192368
  NPD (past)

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1295728053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1464",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349581464",
            "telephone_number": "772-335-2209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SE TIFFANY AVE",
            "address_2": "STE 105",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527576",
            "telephone_number": "772-335-2209",
            "fax_number": "772-337-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORD",
        "first_name": "RONALD",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 002078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078913500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Talicia McBean
• Kelcie Erin McCafferty
• Julianna Brooke McCauley
• Jameka McClearin
• Elizabeth McCloskey
• Stephanie McCoy
• Marvaughn Maxine McCray
• Jeremy Adam McCreary, D.O.
• Danny Leonard McCullough, MPT
• Taylor McCune

• Optometrist in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.