Individual
RONALD JOE BRINEGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
30 N EMERSON AVE, GREENWOOD, IN 46143
(317) 881-3937
(317) 887-4008
Mailing address
30 N EMERSON AVE, GREENWOOD, IN 46143-8895
(317) 881-3937
(317) 887-4008
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002852A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000015929
MPLAN
IN
01
—
000000214767
BCBS
IN
01
—
0005501569
AETNA
IN
05
—
100362860
—
IN
01
—
154418
COLE VISION
IN
01
—
352129520
UNITED MINE WORKERS
IN
01
—
410047205
RAILROAD MEDICARE
IN
Enumeration date
08/23/2005
Last updated
06/25/2018
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