Vardanega, Ronald James
Vardanega, Ronald James is an sole proprietor health care provider with primary practice located at 1287 Broadway , Placerville CA 95667. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Vardanega, Ronald James can be contacted via phone (530) 622-1711.Contact Information
Primary practice address
1287 Broadway
Placerville CA 95667
Phone: (530) 622-1711
Fax: (530) 622-5579
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 8340 | California |
Profile Details
| NPI number | 1316901648 |
|---|---|
| LBN Legal business name | Vardanega, Ronald James |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Apr 8th, 2009 - about 15 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 | 1316901648 | NPPES |
| California | MEDICAID | SD0083400 |
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