Miranda, Ronald

Miranda, Ronald is an individual health care provider with primary practice located at 377 W Jackson St , Cookeville TN 38501-5930. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Miranda, Ronald can be contacted via phone (931) 525-1268.

Contact Information

Primary practice address
377 W Jackson St Cookeville TN 38501-5930
Phone: (931) 525-1268
Fax: (931) 520-8717
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1503 Tennessee

Profile Details

NPI number 1326103961
LBN Legal business name Miranda, Ronald
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 26th, 2006
Last updated Jul 9th, 2007 - about 17 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 1326103961 NPPES
Tennessee MEDICAID 3944004

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