Individual
DR. RONALD ANDINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
MA0491237
PA
152W00000X
Optometrist
Primary
OEG001295
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25-1326118
MISCELLANEOUS INSURANCES
PA
01
—
459894
HIGHMARK - DOCTOR NUMBER
PA
01
—
AN138222
HIGHMARK -ANDINO EYE CARE
PA
Enumeration date
05/02/2007
Last updated
04/30/2008
Update your record
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