Ronald Slocumb, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

048815 Issued in CT

Practice address

79 Wawecus St
Suite 105
Norwich, CT 06360-2160

Phone

(860) 886-0161

Fax

(860) 889-5999

NPI assigned

Mar 27, 2007

Last updated

Jun 9, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Norwich Ophthalmology Optical, Inc.

  dba EyeQ Optical

  • Eyewear Supplier
  • Colchester, CT
  • NPI 1962631366
  NPD (past)

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276041600000",
    "number": "1699893545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 WAWECUS ST",
            "address_2": "SUITE 105",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602160",
            "telephone_number": "860-886-0161",
            "fax_number": "860-889-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 WAWECUS ST",
            "address_2": "SUITE 105",
            "city": "NORWICH",
            "state": "CT",
            "postal_code": "063602160",
            "telephone_number": "860-886-0161",
            "fax_number": "860-889-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOCUMB",
        "first_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2010-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CT",
            "license": "048815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Mariana Sirur-Flores, PMHP, APRN, LPC
• Nicholas Sitro, PSY.D.
• Katrina Donna Sivo-Souza, DNP
• Ashley Skinner
• Dennis Slater, MD
• Alicia Lynn Smith, BSW
• Bailey Smith, LPC
• Bonnie Ellen Smith, PHLEBOTOMIST
• Cathryn Quenna Smith
• Derek R Smith, MD

• Ophthalmology Physician in Norwich, CT
• Providers in Norwich, CT by specialty
• Ophthalmology Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2010; 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.