Organization
RON'S OPTICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON A PUTMAN (OWNER)
(559) 784-1668
Entity
Organization
Contact information
Practice address
52 E MILL AVE, PORTERVILLE, CA 93257-3841
(559) 784-1668
(559) 784-1668
Mailing address
52 E MILL AVE, PORTERVILLE, CA 93257-3841
(559) 784-1668
(559) 784-1668
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
D6251
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9160
MEDICAL EYE SERVICES
CA
05
—
DX006251F
—
CA
Enumeration date
09/10/2009
Last updated
09/10/2009
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