Ronald Lynn Aderholt, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S-540-TA-102 Issued in AL

Practice address

333 E Choccolocco St
Oxford, AL 36203-1225

Phone

(256) 831-2040

Fax

(256) 831-2716

NPI assigned

Sep 20, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Oxford Eye Clinic

  • Optometrist
  • Oxford, AL
  • NPI 1841434826
  NPD (past) Authorized official
• Oxford Eye Clinic, LLC

  • Optometrist
  • Oxford, AL
  • NPI 1891463055
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239840000000",
    "number": "1568560233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 E CHOCCOLOCCO ST",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362031225",
            "telephone_number": "256-831-2040",
            "fax_number": "256-831-2716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 E CHOCCOLOCCO ST",
            "city": "OXFORD",
            "state": "AL",
            "postal_code": "362031225",
            "telephone_number": "256-831-2040",
            "fax_number": "256-831-2716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADERHOLT",
        "first_name": "RONALD",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S-540-TA-102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000058323",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam T Smith LLC
• Lauren Adams-Herron
• Addiction & Mental Health Services, LLC
• Adoration Hospice Care Alabama, LLC (Hospice Services of Alabama)
• Advanced Dermatology & Skin Care Specialists, LLC
• Agency for Substance Abuse Prevention
• Agilitas USA Inc (Results Physiotherapy)
• Alabama CVS Pharmacy LLC (CVS Pharmacy #10207)

• Optometrist in Oxford, AL
• Providers in Oxford, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; 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.