Active NPI
Ronald A Plotkin, O.D.
- Optometrist
- Goodyear, AZ
National Provider Identifier
1992705180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1779
- Practice address
- 15563 W Roanoke Ave
Goodyear, AZ 85395-1461 - Phone
- (480) 297-7844
- NPI assigned
- Jul 28, 2005
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1779 | AZ | Primary |
Addresses
Primary practice location
15563 W Roanoke Ave
Goodyear, AZ 85395-1461
Mailing address
15563 W Roanoke Ave
Goodyear, AZ 85395-1461
Phone (480) 297-7844
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1779 | AZ | MD | Optometrist |
| 879 | CO | MD | Mechanotherapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nationwide Optometry P.C. | Optometrist | Past | Accepting new patients |
| Abba Eye Care PC | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
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.
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- Optometrist
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- NPI 1326472945
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- Optometrist
- Colorado Springs, CO
- NPI 1952301129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1992705180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15563 W ROANOKE AVE",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853951461",
"telephone_number": "480-297-7844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15563 W ROANOKE AVE",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853951461",
"telephone_number": "480-297-7844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLOTKIN",
"first_name": "RONALD",
"middle_name": "A",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-28",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AZ",
"license": "1779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.