Active NPI
Ronald Edward Dachelet, O.D.
- Optometrist
- Anniston, AL
National Provider Identifier
1629026935
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- S-326-TA-026
- Practice address
- 1105 Christine Ave
Anniston, AL 36207-4657 - Phone
- (256) 236-0300
- Fax
- (256) 236-5222
- NPI assigned
- May 5, 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 | S-326-TA-026 | AL | Primary |
Addresses
Primary practice location
1105 Christine Ave
Anniston, AL 36207-4657
Mailing address
PO Box 697
Anniston, AL 36202-0697
Phone (256) 236-0300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000059361 | Medicaid | AL | |
| 051059361 | Other | AL | BC/BS ALABAMA |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436400000000",
"number": "1629026935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 697",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362020697",
"telephone_number": "256-236-0300",
"fax_number": "256-236-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 CHRISTINE AVE",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362074657",
"telephone_number": "256-236-0300",
"fax_number": "256-236-5222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DACHELET",
"first_name": "RONALD",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2015-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AL",
"license": "S-326-TA-026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000059361",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS ALABAMA",
"identifier": "051059361",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anniston, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.