Individual provider Active NPI

Raymond R. Corona, O.D.

  • Optometrist
  • Yuma, AZ
National Provider Identifier
1508970690
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
43 Issued in AZ
Practice address
2149 W 24TH St
Yuma, AZ 85364-6136
Phone
(928) 726-1100
Fax
(928) 341-0881
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 43 AZ Primary

Addresses

Primary practice location

2149 W 24TH St
Yuma, AZ 85364-6136

Mailing address

2149 W 24TH St
Yuma, AZ 85364-6136
Phone (928) 726-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20100618000612 AZ Practitioner - Optometry 8628030145 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Raymond R. Corona, O.D. P.C. Optometrist CurrentSince Aug 8, 1977 Accepting new patients

Locations

2149 W 24th St
Yuma, AZ 85364
Phone (928) 726-1100

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1508970690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2149 W 24TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646136",
            "telephone_number": "928-726-1100",
            "fax_number": "928-341-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2149 W 24TH ST",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646136",
            "telephone_number": "928-726-1100",
            "fax_number": "928-341-0881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORONA",
        "first_name": "RAYMOND",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "43",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.