Provider Demographics
NPI:1477663276
Name:ZARUCHES, RONIE J (OD)
Entity Type:Individual
Prefix:DR
First Name:RONIE
Middle Name:J
Last Name:ZARUCHES
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:571 LINTON BLVD STE B1
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33444-8141
Mailing Address - Country:US
Mailing Address - Phone:561-276-5372
Mailing Address - Fax:
Practice Address - Street 1:571 LINTON BLVD STE B1
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33444-8141
Practice Address - Country:US
Practice Address - Phone:561-276-5372
Practice Address - Fax:561-276-5374
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2462152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL078900300Medicaid
FL078900300Medicaid
FL20225VMedicare PIN