Ron M Bannister OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT000844 Issued in GA

Legal business name

RON M BANNISTER OD

Practice address

102 S Dawson St
Thomasville, GA 31792-5185

Phone

(229) 226-9190

Fax

(229) 226-8824

NPI assigned

Feb 4, 2008

Last updated

Feb 4, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ron M Bannister, O.D.NPI 1053417956

Title

Owner

Phone

(229) 226-9190

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ron M Bannister, OD

  • Optometrist
  • Thomasville, GA
  • NPI 1053417956
  Authorized official Same address or phone

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202083200000",
    "number": "1316125206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 S DAWSON ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925185",
            "telephone_number": "229-226-9190",
            "fax_number": "229-226-8824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 S DAWSON ST",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925185",
            "telephone_number": "229-226-9190",
            "fax_number": "229-226-8824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RON M BANNISTER OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2008-02-04",
        "status": "A",
        "authorized_official_last_name": "BANNISTER",
        "authorized_official_first_name": "RON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-226-9190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT000844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS PIN",
            "identifier": "40064",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Davis Roberts, DO
• Marcus Roberts, PT, DPT
• Amber W Rodd, APRN
• Gregory Louis Roesel, M.D.
• Thomas Scott Romanowski, PHYSICAL THERAPIST
• Rose City Orthopaedics
• Rose City Pharmacy LLC (Rose City Pharmacy)
• Rose Eye Care LLC (Eason Eye Care)
• Rose Falcone PC
• Jennifer Ross, PH.D.

• Optometrist in Thomasville, GA
• Providers in Thomasville, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; 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.