Individual provider Active NPI

Ronald Henry Simeon, O.D.

  • Optometrist
  • Brandon, FL
National Provider Identifier
1720137193
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC0002680 Issued in FL
Practice address
407 W Bloomingdale Ave
Brandon, FL 33511-7401
Phone
(813) 655-9710
Fax
(813) 661-0682
NPI assigned
Jan 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC0002680 FL Primary

Addresses

Primary practice location

407 W Bloomingdale Ave
Brandon, FL 33511-7401

Mailing address

6009 Kestrel Point Ave
Lithia, FL 33547-5022
Phone (813) 662-9366

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20100823000830 FL Practitioner - Optometry 8224170667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bloomingdale Eye Care IncGroup PAC ID 2668443466, 2 clinicians

Practice addresses (Care Compare)

407 W Bloomingdale Ave
Brandon, FL 33511-7401
Phone (813) 655-9710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2680FLMDAddiction (Substance Use Disorder) Counselor
OPC0002680FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bloomingdale Eye Care Inc Optometrist CurrentSince Sep 20, 2008 Accepting new patients
Optometric Associates of Florida, P.a. Optometrist Past Accepting new patients

Locations

407 W Bloomingdale Ave
Brandon, FL 33511
Phone (813) 655-9710

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1720137193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6009 KESTREL POINT AVE",
            "city": "LITHIA",
            "state": "FL",
            "postal_code": "335475022",
            "telephone_number": "813-662-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 W BLOOMINGDALE AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117401",
            "telephone_number": "813-655-9710",
            "fax_number": "813-661-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMEON",
        "first_name": "RONALD",
        "middle_name": "HENRY",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-09",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC0002680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.