Healthcare Provider Details

I. General information

NPI: 1013199702
Provider Name (Legal Business Name): RONALD R LORING OD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2007
Last Update Date: 12/04/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

542 ARTHUR GODFREY RD
MIAMI BEACH FL
33140-3510
US

IV. Provider business mailing address

542 ARTHUR GODFREY RD
MIAMI BEACH FL
33140-3510
US

V. Phone/Fax

Practice location:
  • Phone: 305-534-3937
  • Fax: 305-534-2020
Mailing address:
  • Phone: 305-534-3937
  • Fax: 305-534-2020

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: RONALD R LORING
Title or Position: OPTOMETRIST OWNER
Credential: OD PA
Phone: 305-534-3937