Individual provider Active NPI

Ronald C Pei, O.D.

  • Optometrist
  • Fort Worth, TX
National Provider Identifier
1780909077
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
7185T Issued in TX
Practice address
6301 Davis Rd
Fort Worth, TX 76140-8129
Phone
(301) 455-1115
Fax
(817) 916-9510
NPI assigned
Mar 30, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 7185T TX Primary

Addresses

Primary practice location

6301 Davis Rd
Fort Worth, TX 76140-8129

Mailing address

6301 Davis Rd
Fort Worth, TX 76140-8129
Phone (301) 455-1115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33593CAMDOrthodontics and Dentofacial Orthopedic Dentist
7185TTXMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269907200000",
    "number": "1780909077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 DAVIS RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761408129",
            "telephone_number": "301-455-1115",
            "fax_number": "817-916-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 DAVIS RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761408129",
            "telephone_number": "301-455-1115",
            "fax_number": "817-916-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEI",
        "first_name": "RONALD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-30",
        "last_updated": "2010-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "7185T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.