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Organization
DRS. RAVIN, BIRNDORF & RAVIN, INC.
Active
Organization
DRS. RAVIN, BIRNDORF & RAVIN, INC.
Active
Other names
Specialty Eye Institute
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS T ROARK (CEO)
(517) 841-3007
Entity
Organization
Contact information
Practice address
3000 REGENCY CT STE 100, TOLEDO, OH 43623-3081
(419) 882-2020
(419) 885-8440
Mailing address
850 W NORTH ST STE 104, JACKSON, MI 49202-3196
(877) 852-8463
(517) 817-0144
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
—
NULL
207WX0107X
Retina Specialist (Ophthalmology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0630320
—
OH
01
—
180D661670
BCBSM
MI
01
—
900D610840
BCBSM
MI
01
—
CA0110
RAILROAD MEDICARE
MI
01
—
DE0364
RAILROAD MEDICARE
MI
Enumeration date
09/16/2006
Last updated
07/21/2022
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