Individual provider Active NPI

Rhonda Bronston Riles, O.D.

  • Optometrist
  • Mansfield, OH
National Provider Identifier
1952303257
Registry record updated Mar 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3593/T1526 Issued in OH
Practice address
2485 Possum Run Rd
Mansfield, OH 44903-9447
Phone
(419) 756-7295
Fax
(419) 756-7574
NPI assigned
Jun 1, 2005
Last updated
Mar 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 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 3593/T1526 OH Primary

Addresses

Primary practice location

2485 Possum Run Rd
Mansfield, OH 44903-9447

Mailing address

949 State Route 314 South
Mansfield, OH 44903
Phone (419) 756-7295

Other identifiers 1

IdentifierTypeStateIssuer
0881658MedicaidOH

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
3593/T1526OHMDOptometrist

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394150400000",
    "number": "1952303257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 STATE ROUTE 314 SOUTH",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "44903",
            "telephone_number": "419-756-7295",
            "fax_number": "419-756-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 POSSUM RUN RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449039447",
            "telephone_number": "419-756-7295",
            "fax_number": "419-756-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILES",
        "first_name": "RHONDA",
        "middle_name": "BRONSTON",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2014-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "3593/T1526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0881658",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; 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.