Ronald Fary PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

18002261A Issued in IN

Legal business name

RONALD FARY PC

Practice address

6608 Kansas Ave
Hammond, IN 46323-1747

Phone

(219) 743-3309

NPI assigned

Nov 26, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Ronald Fary, O.D.NPI 1134108566

Title

President

Phone

(219) 743-3309

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ronald Fary, OD

  • Optometrist
  • Chicago, IL
  • NPI 1134108566
  NPD (past) Authorized official

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1629408711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6608 KANSAS AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463231747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6608 KANSAS AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463231747",
            "telephone_number": "219-743-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD FARY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "FARY",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-743-3309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002261A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200400220A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000306292",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Lucille Robinson, PHARMD
• Ernestine Robinson
• Matteara Robinson
• Chisa Ann Roby, ASSOCIATE LICENSE
• Jean M Roche, CRNA
• Yolanda Rosales, MD
• Lisa Ann Rose, NP-C
• Rosenberg Family Practice
• Rush-Select Holdings, LLC
• Tyrone Rutherford Jr.

• Optometrist in Hammond, IN
• Providers in Hammond, IN by specialty
• Optometrist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; 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.