NPIMap

Organization Active NPI

Ronald O Sevigny OD

  • Optometrist
  • Avon Park, FL
National Provider Identifier
1972799674
Registry record updated Oct 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC1052 Issued in FL
Legal business name
RONALD O SEVIGNY OD
Practice address
210 US 27 N
Avon Park, FL 33825-3073
Phone
(863) 453-3850
Fax
(863) 452-1462
NPI assigned
Sep 18, 2007
Last updated
Oct 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2009

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

Authorized official

Name
Dr. Ronald O Sevigny, ODNPI 1558445635
Title
Owner
Phone
(863) 453-3850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC1052 FL Primary

Addresses

Primary practice location

210 US 27 N
Avon Park, FL 33825-3073

Mailing address

PO Box 1648
Avon Park, FL 33826-1648
Phone (863) 453-3850

Other identifiers 1

IdentifierTypeStateIssuer
001255600MedicaidFL

National Provider Directory

National Provider Directory

Locations

735 N 6th Ave
Wauchula, FL 33873
Phone (863) 773-3322

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254960000000",
    "number": "1972799674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1648",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338261648",
            "telephone_number": "863-453-3850",
            "fax_number": "863-452-1462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 US 27 N",
            "city": "AVON PARK",
            "state": "FL",
            "postal_code": "338253073",
            "telephone_number": "863-453-3850",
            "fax_number": "863-452-1462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD O SEVIGNY OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2009-10-08",
        "status": "A",
        "authorized_official_last_name": "SEVIGNY",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-453-3850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001255600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.