Foreman, Ronald R
Foreman, Ronald R is an individual health care provider with primary practice located at 763 Sw Main Blvd , Lake City FL 32025-5791. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Foreman, Ronald R can be contacted via phone (386) 752-1722.Contact Information
Primary practice address
763 Sw Main Blvd
Lake City FL 32025-5791
Phone: (386) 752-1722
Fax: (386) 755-1858
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC1268 | Florida |
Profile Details
| NPI number | 1205817392 |
|---|---|
| LBN Legal business name | Foreman, Ronald R |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 7th, 2005 |
| Last updated | Jan 18th, 2013 - about 11 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 | 1205817392 | NPPES |
| Florida | MEDICAID | 084869700 |
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