Provider Demographics
NPI:1225721384
Name:RAMOS, RONALD (LDO)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:
Last Name:RAMOS
Suffix:
Gender:M
Credentials:LDO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 TETERBORO LANDING DR
Mailing Address - Street 2:
Mailing Address - City:TETERBORO
Mailing Address - State:NJ
Mailing Address - Zip Code:07608-1120
Mailing Address - Country:US
Mailing Address - Phone:201-259-9818
Mailing Address - Fax:201-288-4069
Practice Address - Street 1:1 TETERBORO LANDING DR
Practice Address - Street 2:
Practice Address - City:TETERBORO
Practice Address - State:NJ
Practice Address - Zip Code:07608-1120
Practice Address - Country:US
Practice Address - Phone:201-259-9818
Practice Address - Fax:201-288-4069
Is Sole Proprietor?:No
Enumeration Date:2023-06-02
Last Update Date:2023-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJTD3457156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician