Redder, Ronald Lewis

Redder, Ronald Lewis is an individual health care provider with primary practice located at 400 N 15Th St , Corsicana TX 75110-4514. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Redder, Ronald Lewis can be contacted via phone (903) 229-4141.

Contact Information

Primary practice address
400 N 15Th St Corsicana TX 75110-4514
Phone: (903) 229-4141
Fax: (903) 872-5273
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 6616TG Texas

Profile Details

NPI number 1902886443
LBN Legal business name Redder, Ronald Lewis
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Mar 7th, 2022 - about 3 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 1902886443 NPPES
Texas MEDICAID 1752503

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