Ronald S Shane VI O.D, O.M.D

NPI 1023079480 - Optometrist - 152WP0200X

NPI Details
NPI 1023079480
Gender Male
Enumeration Date 03/28/2006
Last Updated 07/09/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
826 N 4TH ST
SUNBURY PA, 17801-1216, US
Phone (570) 286-5401
Fax (570) 286-7016
Business Location
826 N 4TH ST
SUNBURY PA, 17801-1216, US
Phone (570) 286-5401
Fax (570) 286-7016
Toxanomy
Taxonomy Code 152WP0200X
License State Pennsylvania
License Number OE004117PT
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According to our database, Dr. Ronald S Shane VI O.D, O.M.D NPI is 1023079480, taxonomy code is 152WP0200X and license number is OE004117PT, license state is located at Pennsylvania. Ronald S Shane VI O.D, O.M.D physically located at 826 N 4th St, Sunbury PA, 17801-1216. NPI Number Ronald S Shane VI O.D, O.M.D has the Individual type.

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1023079480 NPI number is provided on an as is basis without warranty of any kind. 1023079480 is maintained by the National Plan & Provider Enumeration System. The contents of Ronald S Shane VI O.D, O.M.D are for informational purposes only.