Individual
DAVID P RONCONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5890 MAYFAIR RD, CANTON, OH 44720-1547
(330) 305-2200
(330) 305-2210
Mailing address
5890 MAYFAIR RD, CANTON, OH 44720-1547
(330) 305-2200
(330) 305-2210
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5067
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000203590
ANTHEM
—
05
—
2286977
—
OH
01
—
7370262
AETNA
—
Enumeration date
06/20/2006
Last updated
07/09/2007
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