DR RONALD SEALOCK
NPI 1063686863
Eyewear Supplier in Dothan, AL

Active since April 14, 2008CLIA 01D2067373 · Waiver
1623 W MAIN ST, DOTHAN, AL 36301(334) 793-9607 Get Directions Write a Review

NPPES record last updated: June 13, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr Ronald Sealock NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR RONALD SEALOCK (NPI 1063686863) is a healthcare organization registered as an eyewear supplier in Dothan, Alabama and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through October 14, 2027 and lists Ronald H Sealock, Owner, as its authorized official.

NPPES Registry Identity

NPI1063686863
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameDR RONALD SEALOCK
Location Address1623 W MAIN STDothan, AL 36301-1315
Mailing Address1623 W Main StDothan, AL 36301-1315 · (334) 793-9607
Organization SubpartNo
Authorized OfficialRonald H SealockOwner · (334) 793-9607
Enumeration DateApril 14, 2008
Last NPPES UpdateJune 13, 2008
NPI 1063686863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License Licensed in AL · S371TA081
Definition

An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

1623 W MAIN ST, Dothan, AL 36301

Other Identifiers 3

Medicare UPIN000059644AL
Medicare NSC3883990001AL
Medicaid000059644AL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D2067373

Ronald H Sealock · Dothan, AL
Active · expires Oct 14, 2027
CLIA Number01D2067373
Laboratory TypePhysician Office
Certificate Effective DateOctober 15, 2025
Certificate Expiration DateOctober 14, 2027
Laboratory DirectorDr. Ronald H. Sealock Od
Laboratory Phone(334) 793-9607
Laboratory LocationRonald H Sealock1623 West Main Street, Dothan, AL 36301
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
1623 W MAIN ST
DOTHAN, AL 36301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dr Ronald Sealock's NPI number?

The NPI number for Dr Ronald Sealock is 1063686863. It was assigned to this organization in the NPPES registry on April 14, 2008.

Where is Dr Ronald Sealock located?

Dr Ronald Sealock is located at 1623 W Main St, Dothan, AL 36301. The listed phone number is (334) 793-9607.

What is Dr Ronald Sealock's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Does Dr Ronald Sealock hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D2067373) is associated with this NPI, valid through October 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Dr Ronald Sealock was last updated on June 13, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.