Provider Demographics
NPI:1174658983
Name:SHIGIO, RONALD S (OD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:S
Last Name:SHIGIO
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:325 N WIGET LN
Mailing Address - Street 2:SUITE 120
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-2435
Mailing Address - Country:US
Mailing Address - Phone:925-937-6870
Mailing Address - Fax:925-937-3282
Practice Address - Street 1:325 N WIGET LN
Practice Address - Street 2:SUITE 120
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-2435
Practice Address - Country:US
Practice Address - Phone:925-937-6870
Practice Address - Fax:925-937-3282
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA5334152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist