Sellers, Ronald Edward

Sellers, Ronald Edward is an individual health care provider with primary practice located at 1515 Lawrie Tatum Rd , Lawton OK 73507. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Sellers, Ronald Edward can be contacted via phone (580) 353-0350.

Contact Information

Primary practice address
1515 Lawrie Tatum Rd Lawton OK 73507
Fax: (580) 355-6234
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 12023 Kansas

Profile Details

NPI number 1124027313
LBN Legal business name Sellers, Ronald Edward
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Feb 29th, 2008 - about 16 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 1124027313 NPPES
New Mexico MEDICAID S2592

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