Individual provider Active NPI

Ronald C. Agresta, M.D.

  • Ophthalmology Physician
  • Steubenville, OH
National Provider Identifier
1740289628
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35-028197 Issued in OH
Practice address
2315 Sunset Blvd
Suite B
Steubenville, OH 43952
Phone
(740) 264-7148
Fax
(740) 264-6957
NPI assigned
Jul 21, 2005
Last updated
Sep 4, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35-028197 OH Primary

Addresses

Primary practice location

2315 Sunset Blvd
Suite B
Steubenville, OH 43952

Mailing address

2315 Sunset Blvd
Suite B
Steubenville, OH 43952-2496
Phone (740) 264-7148

Other identifiers 2

IdentifierTypeStateIssuer
0161980MedicaidOH
0686330001OtherOHNSC

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100225000031 OH Practitioner - Ophthalmology 3274677570 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-028197OHMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Steuben Ophthalmologists, Inc. Ophthalmology CurrentSince Jul 1, 1966 Accepting new patients

Locations

2315 Sunset Blvd
Steubenville, OH 43952
Phone (740) 266-7006

2315 Sunset Blvd
Ste B
Steubenville, OH 43952
Phone (740) 264-7148

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": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1740289628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 SUNSET BLVD",
            "address_2": "SUITE B",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "439522496",
            "telephone_number": "740-264-7148",
            "fax_number": "740-264-6957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 SUNSET BLVD",
            "address_2": "SUITE B",
            "city": "STEUBENVILLE",
            "state": "OH",
            "postal_code": "43952",
            "telephone_number": "740-264-7148",
            "fax_number": "740-264-6957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGRESTA",
        "first_name": "RONALD",
        "middle_name": "C.",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35-028197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0161980",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC",
            "identifier": "0686330001",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steubenville, OH

Sources for this page

Verify at the official NPI Registry.