Individual
RONALD B SHELDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3601 HIGHWAY 100 S, ST LOUIS PARK, MN 55416-2500
(952) 356-3544
Mailing address
PO BOX 61, LONG LAKE, MN 55356-0061
(952) 473-2654
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1823
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
218241032779
PREFERRED ONE
MN
01
—
22 02402
MEDICA
MN
01
—
2201904
MEDICA
MN
05
—
226523100
—
MN
01
—
36060SH
BCBS OF MN
MN
01
—
874339
DAVISVISION/CLARITY
MN
01
—
911972
EYE MED/COLE VISION
MN
01
—
93990
HEALTHPARTNERS
MN
Enumeration date
10/02/2006
Last updated
05/24/2017
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