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Individual

DR. RONNIE J. SLUSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
7593 MENTOR AVE, MENTOR, OH 44060-5407
(440) 942-7714
(440) 942-3901
Mailing address
7593 MENTOR AVE, MENTOR, OH 44060-5407
(440) 942-7714
(440) 942-3901

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3271
OH
152W00000X
Optometrist
584
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000131110
ANTHEM
OH
01
20250
SPECTERA
OH
01
29114
SPECTERA
OH
01
34-1372215-0135
NATIONAL VISION ADMINSTRA
OH
01
49614
DAVIS VISON
OH
01
50142
DAVIS VISION
OH
01
OH3271
EYEMED
OH
Enumeration date
08/14/2006
Last updated
07/09/2007
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