Individual
RONALD FARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
6601 N AVONDALE AVE STE 102, CHICAGO, IL 60631-1567
(773) 792-1011
(773) 787-1311
Mailing address
6608 KANSAS AVE, HAMMOND, IN 46323-1747
(219) 844-1684
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009911
IL
152W00000X
Optometrist
18002261A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000306292
ANTHEM
IN
05
—
046009911
—
IL
01
—
1622243
BCBS OF IL
IL
05
—
200400220A
—
IN
01
—
410048585
RAILROAD / TRAVELERS
IN
01
—
P00380091
PALMETTO GBA / RR MEDICARE
IL
Enumeration date
01/13/2006
Last updated
02/23/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us