Provider Demographics
NPI:1376137992
Name:RAMOLIA OPTOMETRIC ASSOCIATES INC.
Entity Type:Organization
Organization Name:RAMOLIA OPTOMETRIC ASSOCIATES INC.
Other - Org Name:BEACON OPTOMETRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOLIA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:714-496-9246
Mailing Address - Street 1:6637 SURF CREST ST
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92011-2643
Mailing Address - Country:US
Mailing Address - Phone:714-496-9246
Mailing Address - Fax:
Practice Address - Street 1:7720 EL CAMINO REAL STE G
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92009-8509
Practice Address - Country:US
Practice Address - Phone:760-278-8068
Practice Address - Fax:760-278-3539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-24
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty