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NPI Code Detail

MEDICARE: DR. YURY RONIN O.D.

MEDICARE:  DR. YURY  RONIN  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist8032TTX

General Provider Information

NPI Number : 1255696555
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YURY RONIN O.D.
Provider Business Mailing Address
First Line : 350 E INTERSTATE 20
Second Line :
City : ARLINGTON
State : TX
Zip : 76018-1119
Country : US
Telephone Number : 817-784-0222
Fax Number : 817-467-5819
Provider Business Practice Location Address
First Line : 350 E INTERSTATE 20
Second Line :
City : ARLINGTON
State : TX
Zip : 76018-1119
Country : US
Telephone Number : 817-784-0222
Fax Number : 817-467-5819
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2012
Last Update Date : 07/21/2022

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Directions to “ DR. YURY RONIN O.D.” Practice Location

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