Ralph W. Simonton III, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

ODT759 Issued in TN

Practice address

2823 Highway 31 W. South
White House, TN 37188

Phone

(615) 672-4683

Fax

(615) 672-4643

NPI assigned

Oct 13, 2006

Last updated

Nov 25, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227571200000",
    "number": "1841380573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 HIGHWAY 31 W SOUTH",
            "city": "WHITE HOUSE",
            "state": "TN",
            "postal_code": "37188",
            "telephone_number": "615-672-4683",
            "fax_number": "615-672-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2823 HIGHWAY 31 W. SOUTH",
            "city": "WHITE HOUSE",
            "state": "TN",
            "postal_code": "37188",
            "telephone_number": "615-672-4683",
            "fax_number": "615-672-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMONTON",
        "first_name": "RALPH",
        "middle_name": "W.",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2008-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "ODT759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Share, PSY.D.
• Arielle Shaw, PA-C
• Jamie Sheppard, LMFT
• Hailey Shuttleworth, DPT
• Simonton Eye Care Clinic
• Rona Darlene Siscoe, FNP-C
• Lori Snell, LPN
• Springfield Health Services, LLC (NorthCrest Sleep Center, a department of TriStar NorthCrest Medical Center)
• Megan Sullivan
• Harold Michael Swann, RPH

• Optometrist in White House, TN
• Providers in White House, TN by specialty
• Optometrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.