Carr, Ronald J

Carr, Ronald J is an individual health care provider with primary practice located at 14225 S 95Th Ave Ste 453, Orland Park IL 60462-2265. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Carr, Ronald J can be contacted via phone (708) 361-6141.

Contact Information

Primary practice address
14225 S 95Th Ave Ste 453 Orland Park IL 60462-2265
Phone: (708) 361-6141
Fax: (708) 361-5327
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046 008711 Illinois

Profile Details

NPI number 1700803269
LBN Legal business name Carr, Ronald J
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Mar 21st, 2011 - about 13 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 1700803269 NPPES
Illinois MEDICAID 046008711 1
Illinois Other 1621656

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