MEDICARE: DR. RONALD LUKE REBENITSCH M.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
1	207W00000X	Ophthalmology Physician	PT 13527	ND
2	207W00000X	Ophthalmology Physician	04-36398	KS
3	207W00000X	Ophthalmology Physician	31188	OK

General Provider Information

NPI Number	:	1740515436
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RONALD LUKE REBENITSCH M.D.

Provider Business Mailing Address
First Line	:	329 NE 3RD ST APT 204
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73104-4080
Country	:	US
Telephone Number	:	701-471-0796
Fax Number	:

Provider Business Practice Location Address
First Line	:	7101 NW EXPRESSWAY
Second Line	:	SUITE 335
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73132-1579
Country	:	US
Telephone Number	:	405-733-2020
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2009
Last Update Date	:	11/25/2016

Similar Medicare Providers

1063972495 — ALLYSON ELAINE BARNES DPT
Practice Location Address:

7101 NW EXPRESSWAY STE 824
OKLAHOMA CITY, OK
73132-1579

Practice Phone: 405-817-8002
Practice Fax:

1720086853 — DR. WILBUR DUBOIS VANBUREN II M.D.
Practice Location Address:

308 W 8TH ST , 208
KANSAS CITY, MO
64105-1579

Practice Phone: 816-229-2557
Practice Fax: 816-221-4946

1861469090 — MRS. JUNE ANN HUMPHREY FNP
Practice Location Address:

1810 NE 79TH CT
KANSAS CITY, MO
64118-1579

Practice Phone: 816-810-3728
Practice Fax:

1720142144 — FAMILY ENRICHMENT SERVICES LLP
Practice Location Address:

1579 W 600 S
SALT LAKE CITY, UT
84104-2512

Practice Phone: 801-973-0655
Practice Fax: 801-973-0655

1124691571 — JASLYN MADRIAGA-AGUIGUI
Practice Location Address:

1147 KUMANO ST
PEARL CITY, HI
96782-1579

Practice Phone: 808-307-5300
Practice Fax:

1841037694 — BRIANNA REGINE BYRD
Practice Location Address:

1579 WENTWORTH AVE
CALUMET CITY, IL
60409-6325

Practice Phone: 773-242-3360
Practice Fax:

Directions to “ DR. RONALD LUKE REBENITSCH M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.