Ronald H Poulin, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

VUT003386 Issued in NY

Practice address

94 Main St
Camden, NY 13316-1320

Phone

(315) 245-2443

Fax

(315) 245-1060

NPI assigned

Oct 24, 2005

Last updated

Apr 5, 2022By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Poulin Optometric Eyecare , PLLC

  • Optometrist
  • Camden, NY
  • NPI 1477052223
  Medicare reassignment NPD Authorized official
• Oneida Optometric, PLLC

  • Optometrist
  • Oneida, NY
  • NPI 1407204761
  Medicare reassignment NPD
• Poulin Eyecare Inc.

  • Optometrist
  • Camden, NY
  • NPI 1366534059
  Authorized official Same address or phone
• Adirondack Eyecare Center Inc

  dba Adirondack EyeCare Inc

  • Optometrist
  • Boonville, NY
  • NPI 1215036405
  NPD (past)
• Eyecare Center of Mexico, Inc.

  • Optometrist
  • Mexico, NY
  • NPI 1104924752
  NPD (past)

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1982694832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2471 STATE ROUTE 69",
            "city": "CAMDEN",
            "state": "NY",
            "postal_code": "133163728",
            "telephone_number": "315-245-2443",
            "fax_number": "315-245-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 MAIN ST",
            "city": "CAMDEN",
            "state": "NY",
            "postal_code": "133161320",
            "telephone_number": "315-245-2443",
            "fax_number": "315-245-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULIN",
        "first_name": "RONALD",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "VUT003386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000555995",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Paradis, P.T.
• Robin Marie Pardee, LPN
• Jessica Marie Perusse, LCSW
• Poulin Eyecare Inc.
• Poulin Optometric Eyecare , PLLC
• Amy Olivia Redmond
• Reflections Counseling Services
• Karen C Regan, N.P.
• Makenna Reinold, MS, OTR/L
• Susan Richards

• Optometrist in Camden, NY
• Providers in Camden, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.