# RONALD O SEVIGNY OD

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

## Provider details

- **NPI number:** 1972799674
- **Authorized official:** DR. RONALD O SEVIGNY OD (OWNER)
- **Authorized official phone:** (863) 453-3850

## Contact information

- **Practice address:** 210 US 27 N, AVON PARK, FL 33825-3073
- **Practice address phone:** (863) 453-3850
- **Practice address fax:** (863) 452-1462
- **Mailing address:** PO BOX 1648, AVON PARK, FL 33826-1648
- **Mailing address phone:** (863) 453-3850
- **Mailing address fax:** (863) 452-1462

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC1052 | FL | Yes |

## Other

- **Enumeration date:** 09/18/2007
- **Last updated:** 10/08/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001255600 | — | FL |