Adcock, Ronald Joe

Adcock, Ronald Joe is an sole proprietor health care provider with primary practice located at 27900 N Main St Ste 1, Daphne AL 36526. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Adcock, Ronald Joe can be contacted via phone (251) 621-1211.

Contact Information

Primary practice address
27900 N Main St Ste 1 Daphne AL 36526
Fax: (251) 621-9052
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X S424TA003 Alabama

Profile Details

NPI number 1235178070
LBN Legal business name Adcock, Ronald Joe
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2006
Last updated Sep 1st, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235178070 NPPES
Other 051026433 BCBS
Other 408540683 BCBS
MEDICAID 000026433 BCBS

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