MEDICARE: RONALD E FOLTZ MD INC

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	00G203272	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ZZZ05967Z	OTHER	CA	PPO HMO
2	ZZZ05967Z	OTHER	CA	BLUE SHIELD
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	058518	OTHER		EYEMED
5	ZZZ05967Z	OTHER	CA	WORKERS COMP

General Provider Information

NPI Number	:	1891767505
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RONALD E FOLTZ MD INC

Provider Business Mailing Address
First Line	:	1000 FOWLER WAY
Second Line	:	SUITE 2
City	:	PLACERVILLE
State	:	CA
Zip	:	95667-5738
Country	:	US
Telephone Number	:	530-626-0058
Fax Number	:	530-626-0092

Provider Business Practice Location Address
First Line	:	1000 FOWLER WAY
Second Line	:	SUITE 2
City	:	PLACERVILLE
State	:	CA
Zip	:	95667-5738
Country	:	US
Telephone Number	:	530-626-0058
Fax Number	:	530-626-0092

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RONALD E FOLTZ
Credential	:	MD
Telephone Number	:	530-626-0058

Provider Enumeration Date	:	02/06/2006
Last Update Date	:	04/20/2008

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Directions to “RONALD E FOLTZ MD INC ” Practice Location

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