Wallie, Ronald Charles
Wallie, Ronald Charles is an sole proprietor health care provider with primary practice located at 115 W Broad St Suite A, Newton Falls OH 44444-1572. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Wallie, Ronald Charles can be contacted via phone (330) 872-1371.Contact Information
Primary practice address
115 W Broad St Suite A
Newton Falls OH 44444-1572
Phone: (330) 872-1371
Fax: (330) 872-1248
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3576/T1280 | Ohio |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 3576/T1280 | Ohio |
Profile Details
| NPI number | 1891748067 |
|---|---|
| LBN Legal business name | Wallie, Ronald Charles |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 18th, 2006 |
| Last updated | Feb 9th, 2010 - about 14 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 | 1891748067 | NPPES |
| Ohio | MEDICAID | 0481072 |
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