Active NPI
Ronald H Ullman, MD
- Ophthalmology Physician
- Wenatchee, WA
National Provider Identifier
1922016203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- M-9096
- Practice address
- 2105 N. Western Ave.
Wenatchee, WA 98801 - Phone
- (509) 663-9535
- Fax
- (509) 667-8304
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | M-9096 | ID | Primary |
Addresses
Primary practice location
2105 N. Western Ave.
Wenatchee, WA 98801
Mailing address
2105 N Western Ave
Wenatchee, WA 98801-1062
Phone (509) 663-9535
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3739 | MT | MD | Pharmacist |
| M-9096 | ID | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Clinic of Sandpoint PA | Ophthalmology | Past | Accepting new patients |
| Eye Clinic of Sandpoint PA | Past | Accepting new patients | |
| Lagreca Eye Clinic, P.C. | Past | Accepting new patients | |
| Lagreca Eye Clinic, PC | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Eyewear Supplier
- Sandpoint, ID
- NPI 1104957612
-
- Ophthalmology Physician
- Sandpoint, ID
- NPI 1215945431
-
- Ambulatory Surgical Clinic/Center
- Lander, WY
- NPI 1427183664
-
- Ophthalmology Physician
- Billings, MT
- NPI 1780866251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1240531200000",
"number": "1922016203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2105 N WESTERN AVE",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "988011062",
"telephone_number": "509-663-9535",
"fax_number": "509-667-8304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 N. WESTERN AVE.",
"city": "WENATCHEE",
"state": "WA",
"postal_code": "98801",
"telephone_number": "509-663-9535",
"fax_number": "509-667-8304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ULLMAN",
"first_name": "RONALD",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-03",
"last_updated": "2009-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "ID",
"license": "M-9096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wenatchee, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.