Individual provider Active NPI

Ronald Alan Platt, O.D.

  • Optometrist
  • Philadelphia, PA
National Provider Identifier
1811942972
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000892 Issued in PA
Practice address
42 S 15TH St
Suite 1720
Philadelphia, PA 19102-2218
Phone
(215) 567-0580
Fax
(215) 567-0584
NPI assigned
May 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000892 PA Primary

Addresses

Primary practice location

42 S 15TH St
Suite 1720
Philadelphia, PA 19102-2218

Mailing address

42 S 15TH St
Suite 1720
Philadelphia, PA 19102-2218
Phone (215) 567-0580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20040802001519 PA Practitioner - Optometry 9830160019 Practice locations: Philadelphia, PA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 S Broad St
Philadelphia, PA 19110-1029
Phone (215) 567-0580

7601 Castor Ave
Suite 206
Philadelphia, PA 19152-4026
Phone (215) 725-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OEG000892PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Platt and Platt Optometrist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1811942972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 S 15TH ST",
            "address_2": "SUITE 1720",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022218",
            "telephone_number": "215-567-0580",
            "fax_number": "215-567-0584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 S 15TH ST",
            "address_2": "SUITE 1720",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191022218",
            "telephone_number": "215-567-0580",
            "fax_number": "215-567-0584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLATT",
        "first_name": "RONALD",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.