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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700803269 | NPPES |
| Illinois | MEDICAID | 046008711 1 | |
| Illinois | Other | 1621656 |
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