MEDICARE: RONALD N HIURA OD

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
1	152W00000X	Optometrist	6956	CA

General Provider Information

NPI Number	:	1538300173
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RONALD N HIURA OD

Provider Business Mailing Address
First Line	:	1418 POLK ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94109-4616
Country	:	US
Telephone Number	:	415-776-2352
Fax Number	:	415-776-5872

Provider Business Practice Location Address
First Line	:	1418 POLK ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94109-4616
Country	:	US
Telephone Number	:	415-776-2352
Fax Number	:	415-776-5872

Authorized Official
Title or Position	:	O.D.
Name	:	DR. RONALD N HIURA
Credential	:	OWNER
Telephone Number	:	415-776-2352

Provider Enumeration Date	:	03/11/2009
Last Update Date	:	07/26/2011

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