Becker, Ronald

Becker, Ronald is an sole proprietor health care provider with primary practice located at 1615 Ridenour Blvd Nw 201, Kennesaw GA 30152-4464. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Becker, Ronald can be contacted via phone (770) 499-2020.

Contact Information

Primary practice address
1615 Ridenour Blvd Nw 201 Kennesaw GA 30152-4464
Phone: (770) 499-2020
Fax: (770) 426-8157
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 661 Georgia

Profile Details

NPI number 1710002969
LBN Legal business name Becker, Ronald
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2007
Last updated Aug 29th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710002969 NPPES
Georgia Other 581298372 EYEMED
Georgia Other 581298372 EYEMED
Georgia Other 581298372 EYEMED

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