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Individual

DR. RONALD MILOVICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2004 EDISON RD, SUITE A, SOUTH BEND, IN 46617-1712
(574) 288-2400
(574) 288-7132
Mailing address
2004 EDISON RD, SUITE A, SOUTH BEND, IN 46617-1712
(574) 288-2400
(574) 288-7132

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001593A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01171
SPECTERA
IN
05
100150490
IN
01
100273116
BLUE CROSS SOUTH BEND
IN
01
118467
EYE MED SO BEND
IN
01
32790
INDIANA HEALTH NETWORK
IN
01
351368448
VISION CARE PLAN
IN
01
IN81594
VISIONBENEFITS OF AMERICA
IN
Enumeration date
09/09/2005
Last updated
01/15/2009
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