Ronald J. Fornelli OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

T02154 Issued in MO

Legal business name

RONALD J. FORNELLI OD PC

Practice address

3417 NW Mill Dr
Blue Springs, MO 64015-3257

Phone

(816) 229-3001

Fax

(816) 229-9459

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ronald J Fornelli, OD

Title

Ownerdoctor

Phone

(816) 229-3001

Specialties & licenses 1

Addresses

Other names 1

• Blue Springs Eye Center Other name

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248912000000",
    "number": "1952455933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3417 NW MILL DR",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153257",
            "telephone_number": "816-229-3001",
            "fax_number": "816-229-9459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3417 NW MILL DR",
            "city": "BLUE SPRINGS",
            "state": "MO",
            "postal_code": "640153257",
            "telephone_number": "816-229-3001",
            "fax_number": "816-229-9459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD J. FORNELLI OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2009-07-30",
        "status": "A",
        "authorized_official_last_name": "FORNELLI",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNERDOCTOR",
        "authorized_official_telephone_number": "816-229-3001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MO",
            "license": "T02154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Springs Eye Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rockhill Orthopaedic Specialists Inc
• Rockhill Orthopaedic Specialists Inc
• Kara Roedel
• Sean Patrick Rogan, D.C.
• Aubrey Rogers, PHARMD
• Caitlin Rooney, DO
• Michael Andrew Roth, CAA
• Michele Marie Rowan, AGACNP-BC
• Lolita Michele Rowe Gibson
• Anthony D Rowell

• Optometrist in Blue Springs, MO
• Providers in Blue Springs, MO by specialty
• Optometrist in Missouri

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

Verify at the official NPI Registry.