Organization Active NPI

Ronald B. Mori, O.D.

  • Optometrist
  • Sacramento, CA
National Provider Identifier
1689816282
Registry record updated Mar 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5184 Issued in CA
Legal business name
RONALD B. MORI, O.D.
Practice address
4617 Freeport Blvd
Suite D
Sacramento, CA 95822-2015
Phone
(916) 452-4439
Fax
(916) 452-3432
NPI assigned
Mar 27, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2009

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

Authorized official

Name
Ronald B. Mori, O.D.
Title
Qwner
Phone
(916) 452-4439

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5184 CA Primary

Addresses

Primary practice location

4617 Freeport Blvd
Suite D
Sacramento, CA 95822-2015

Mailing address

4617 Freeport Blvd
Suite D
Sacramento, CA 95822-2015
Phone (916) 452-4439

National Provider Directory

National Provider Directory

Locations

4617 Freeport Blvd
Ste D
Sacramento, CA 95822
Phone (916) 452-4439

NPI Registry JSON

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

{
    "created_epoch": "1238112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1689816282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4617 FREEPORT BLVD",
            "address_2": "SUITE D",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958222015",
            "telephone_number": "916-452-4439",
            "fax_number": "916-452-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4617 FREEPORT BLVD",
            "address_2": "SUITE D",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958222015",
            "telephone_number": "916-452-4439",
            "fax_number": "916-452-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD B. MORI, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-27",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "MORI",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "QWNER",
        "authorized_official_telephone_number": "916-452-4439",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.