Individual provider Active NPI

Jon T. Romer, O.D.

  • Optometrist
  • Celina, OH
National Provider Identifier
1740268150
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4871 Issued in OH
Practice address
1950 Havemann Rd
Celina, OH 45822-9300
Phone
(419) 584-0615
Fax
(419) 584-0637
NPI assigned
Jan 5, 2006
Last updated
Aug 30, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4871 OH Primary

Addresses

Primary practice location

1950 Havemann Rd
Celina, OH 45822-9300

Mailing address

1950 Havemann Rd
Celina, OH 45822-9300
Phone (419) 584-0615

Other identifiers 1

IdentifierTypeStateIssuer
2103164MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20161116002198 OH Practitioner - Optometry 7719909019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1950 Havemann Rd
Celina, OH 45822-9300
Phone (419) 584-0615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4871OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jon T. Romer, O.D. & Associates, Inc. Optometrist CurrentSince Oct 1, 2016 Accepting new patients

Locations

1950 Havemann Rd
Celina, OH 45822
Phone (419) 584-0615

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188432000000",
    "number": "1740268150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 HAVEMANN RD",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458229300",
            "telephone_number": "419-584-0615",
            "fax_number": "419-584-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 HAVEMANN RD",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458229300",
            "telephone_number": "419-584-0615",
            "fax_number": "419-584-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMER",
        "first_name": "JON",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2007-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2103164",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Celina, OH

Sources for this page

Verify at the official NPI Registry.