RONALD BECKER (NPI# 1710002969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710002969 |
| Entity Type | Individual |
| Full Name | RONALD BECKER |
| Credential | O.D. |
| Practice Address |
1615 Ridenour Blvd Nw 201 Kennesaw GA 30152-4464 |
| Mailing Address |
1615 Ridenour Blvd Nw 201 Kennesaw GA 30152-4463 |
| Practice Telephone | 7704992020 |
| Practice Fax Number | 7704268157 |
| Mailing Telephone | 7704992020 |
| Mailing Fax Number | 7704268157 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2013-08-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 661 | GA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | VSP | 581298372 | 01 |
| GA | VCP | 581298372 | 01 |
| GA | EYEMED | 581298372 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477962132 | Ronald Becker | Home Health Aide | 8452 Redwood Ct, Macedonia, OH 44056-2087 | 2014-08-07 |
| 1487760104 | Ronald Becker | Nurse Anesthetist, Certified Registered | 1645 Canoe Dr, Lutz, FL 33559-8659 | 2006-08-23 |
| 1629277892 | Ronald Mark Becker | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1430 Esplanade, Suite No 10, Chico, CA 95926 | 2007-07-17 |
| 1992862767 | Ronald H Becker | Counselor | 201 Palisade Ave, Jersey City, NJ 07306-1112 | 2007-01-02 |
| 1881707479 | Ronald E Becker | Pediatrics | 300 Longwood Ave, Fegan 10, Boston, MA 02115-5724 | 2006-08-16 |
| 1275584633 | Ronald L. Becker | Radiology | 39000 Bob Hope Dr, Eisenhower Imaging Center, Rancho Mirage, CA 92270-3221 | 2006-05-12 |
| 1124000724 | Ronald P Becker | Pediatrics | 41011 California Oaks Rd, Suite 101, Murrieta, CA 92562-5751 | 2005-11-18 |
| Street Address |
1615 RIDENOUR BLVD NW 201 |
| City | KENNESAW |
| State | GA |
| Zip Code | 30152-4464 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144345398 | E Edward Carman | Optometrist | 1615 Ridenour Blvd Nw, Suite #201, Kennesaw, GA 30152-4463 | 2007-03-20 |
| 1427505445 | Margaret C Scott | Physical Therapist | 1615 Ridenour Blvd Nw, Suite 204, Kennesaw, GA 30152-4463 | 2016-09-07 |
| 1184075210 | Pt Solutions of Acworth LLC | Physical Therapist | 1615 Ridenour Blvd Nw, Suite 204, Kennesaw, GA 30152-4463 | 2016-06-30 |
| 1407232515 | Optimist LLC | Optometrist | 1615 Ridenour Blvd Nw, #201, Kennesaw, GA 30152-4463 | 2015-07-31 |
| 1831526276 | Nexslim of Cobb County, LLC | Clinic/Center | 1615 Ridenour Blvd Nw, Suite #202, Kennesaw, GA 30152-4463 | 2013-09-30 |
| 1205155116 | Eecarman Od PC | Optometrist | 1615 Ridenour Blvd Nw, Suite 201, Kennesaw, GA 30152-4463 | 2010-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821647124 | Ashley Dover | Nurse Practitioner | 1300 Ridenour Blvd, Suite 300, Kennesaw, GA 30152 | 2019-09-09 |
| 1205306891 | Lashanda Denise Moore | Nurse Practitioner | 1600 Kennesaw Due West Rd Nw #205, Kennesaw, GA 30152 | 2018-11-27 |
| 1265901094 | Focused Loving Home Care Services LLC | In Home Supportive Care | 2151 Marne Glen Nw, Kennesaw, GA 30152 | 2018-11-22 |
| 1083199152 | Raven Ashley Thomas | Behavioral Analyst | 1619 Collins Rd Nw Ste 500, Kennesaw, GA 30152 | 2018-09-25 |
| 1821592593 | Eseovhe Egborge PC | Clinic/Center | 1600 Kennesaw Due West Rd Nw Ste 205, Kennesaw, GA 30152 | 2018-03-19 |
| 1184143059 | Kennesaw Mountain Dental Associates | Dentist | 1815 Old 41 Hwy, Ste 310, Kennesaw, GA 30152 | 2017-09-12 |
| 1265955983 | Deborah Ruth Stern Compton | Registered Nurse | 1291 Stanley Rd., Kennesaw, GA 30152 | 2017-07-25 |
| 1912452939 | Mak Anesthesia Holdings LLC | Anesthesiology | 1300 Ridenour Blvd., Ste. 300, Kennesaw, GA 30152 | 2016-08-19 |
| 1528430279 | Tineka Nichol Wyckoff | Counselor | 1967 Lake Heights Circle, Kennesaw, GA 30152 | 2015-10-21 |
| 1669753992 | American Current Care Pa | Clinic/Center | 2953 Cobb Parkway, Suite 400, Kennesaw, GA 30152 | 2011-08-31 |
| Find all providers in zip 30152 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346890100 | Envision Optics LLC | Optometrist | 440 Ernest W Barrett Pkwy Nw Ste 21, Kennesaw, GA 30144-4918 | 2019-09-13 |
| 1669929634 | Town Center Vision Care, LLC | Optometrist | 400 Ernest W Barrett Pkwy Nw Ste 617, Kennesaw, GA 30144-4997 | 2016-09-07 |
| 1629476643 | Seana Corbett | Optometrist | 400 Barrett Pkwy Ste 617, Kennesaw, GA 30144-4997 | 2014-12-08 |
| 1518373646 | Rakeshkumar Lakhani | Optometrist | 3745 Cherokee St Nw Ste 404, Kennesaw, GA 30144-6787 | 2014-07-09 |
| 1164710703 | David Fierce Od LLC | Optometrist | 415 Carl Ridge Dr Nw, Kennesaw, GA 30152-5729 | 2011-07-18 |
| 1306047782 | Patrick Connelly | Optometrist | Town Center Eye Care, 400 Barrett Parkway, Suite 297, Kennesaw, GA 30144-4958 | 2007-05-31 |
| 1750590980 | Frederick C. Shaw | Optometrist | 645 Ernest Barrett Pkwy, Kennesaw, GA 30144 | 2007-05-22 |
| 1043426711 | William Wha Wang | Optometrist | 3105 Cobb Pkwy Nw, Kennesaw, GA 30152-1013 | 2007-05-16 |
| 1144345398 | E Edward Carman | Optometrist | 1615 Ridenour Blvd Nw, Suite #201, Kennesaw, GA 30152-4463 | 2007-03-20 |
| 1184779084 | Mary Najjar Brunner | Optometrist | 2700 Town Center Dr Nw, H-2, Kennesaw, GA 30144-6800 | 2007-01-24 |
| Find all providers in KENNESAW | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.