# RONALD E MCCORD OD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801880521
- **Authorized official:** DR. RONALD EUGENE MCCORD OD (PRESIDENT)
- **Authorized official phone:** (772) 692-7231

## Contact information

- **Practice address:** 1696 SE HILLMOOR DR, STE B, PORT ST LUCIE, FL 34952-7699
- **Practice address phone:** (772) 335-2209
- **Practice address fax:** (772) 337-9177
- **Mailing address:** PO BOX 1464, JENSEN BEACH, FL 34958-1464
- **Mailing address phone:** (772) 335-2209
- **Mailing address fax:** (772) 337-9177

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC002078 | FL | Yes |

## Other

- **Enumeration date:** 09/08/2005
- **Last updated:** 08/22/2020