Individual
DR. RONALD DENNIS ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
890 MAIN ST, SUITE 204, SANFORD, ME 04073-3572
(207) 324-0400
Mailing address
890 MAIN ST, SUITE 204, SANFORD, ME 04073-3572
(207) 324-0400
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 594
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012-899-0001
DMERC EYE AND EYEGLASSES
ME
01
—
3222448
AETNA EYE AND VISION
ME
01
—
E003463
TRICARE EYE AND VISION
ME
01
—
OPT 594
OPTOMETRY LICENSE
ME
Enumeration date
10/03/2006
Last updated
03/07/2023
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