Active NPI
Ronald T McClatchey, OD
- Optometrist
- Kentwood, MI
National Provider Identifier
1619993755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 4901002407
- Practice address
- 2350 44TH St SE
Kentwood, MI 49508-5016 - Phone
- (616) 281-1011
- Fax
- (616) 281-4941
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901002407 | MI | Primary |
Addresses
Primary practice location
2350 44TH St SE
Kentwood, MI 49508-5016
Mailing address
1700 South Park
Kalamazoo, MI 49001
Phone (269) 342-0003
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| B. Jeffrey Pulk, P.C. | Optometrist | Past | Accepting new patients |
| Baas Optometry PC | Optometrist | Past | Accepting new patients |
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.
-
- Optometrist
- Traverse City, MI
- NPI 1528237690
-
- Optometrist
- Traverse City, MI
- NPI 1821302548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619993755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 SOUTH PARK",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "49001",
"telephone_number": "269-342-0003",
"fax_number": "269-342-4284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2350 44TH ST SE",
"city": "KENTWOOD",
"state": "MI",
"postal_code": "495085016",
"telephone_number": "616-281-1011",
"fax_number": "616-281-4941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLATCHEY",
"first_name": "RONALD",
"middle_name": "T",
"name_prefix": "Mr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MI",
"license": "4901002407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kentwood, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.