Ronald Becker, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

661 Issued in GA

Practice address

1615 Ridenour Blvd NW
201
Kennesaw, GA 30152-4464

Phone

(770) 499-2020

Fax

(770) 426-8157

NPI assigned

Mar 20, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 1965

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adairsville Eye Associates LLCGroup PAC ID 6901297720, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Adairsville Eye Associates LLC

  • Optometrist
  • Adairsville, GA
  • NPI 1538823315
  Medicare reassignment Care Compare group NPD
• Gilbert M. James, OD Inc

  • Optometrist
  • Adairsville, GA
  • NPI 1699968719
  NPD

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1710002969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 RIDENOUR BLVD NW",
            "address_2": "201",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524463",
            "telephone_number": "770-499-2020",
            "fax_number": "770-426-8157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 RIDENOUR BLVD NW",
            "address_2": "201",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524464",
            "telephone_number": "770-499-2020",
            "fax_number": "770-426-8157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "RONALD",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "581298372",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP",
            "identifier": "581298372",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VCP",
            "identifier": "581298372",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carlene Verona Battiste-Downie, LCSW
• Taylor Baumaister
• Robin Kersey Bayerl
• Heather Nichole Bearden, M.ED CF-SLP
• Allison Murphey Beck
• Paige Beckett
• Mariea Becknell, MA, CCC-SLP
• Adriana Bedford, D.C.
• Kelli Beechler
• Behavioral Kinetics

• Optometrist in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.