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

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 and National Provider Directory roles.

• Norwich Ophthalmology Optical, Inc.

  • 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

• All providers in Norwich, CT
• 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.