Brinegar, Ronald Joe

Brinegar, Ronald Joe is an individual health care provider with primary practice located at 30 N Emerson Ave , Greenwood IN 46143. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Brinegar, Ronald Joe can be contacted via phone (317) 881-3937.

Contact Information

Primary practice address
30 N Emerson Ave Greenwood IN 46143
Phone: (317) 881-3937
Fax: (317) 887-4008
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18002852A Indiana

Profile Details

NPI number 1164415394
LBN Legal business name Brinegar, Ronald Joe
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Jun 25th, 2018 - about 7 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 1164415394 NPPES
Indiana Other 000000015929 MPLAN
Indiana MEDICAID 100362860 MPLAN
Indiana Other 352129520 MPLAN
Indiana Other 154418 MPLAN
Indiana Other 410047205 MPLAN
Indiana Other 000000214767 MPLAN
Indiana Other 0005501569 MPLAN

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