Provider Demographics
NPI:1508425448
Name:RONEY, BRIGID (OD)
Entity Type:Individual
Prefix:
First Name:BRIGID
Middle Name:
Last Name:RONEY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4350 JOSLYN RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48326-1329
Mailing Address - Country:US
Mailing Address - Phone:248-391-0508
Mailing Address - Fax:
Practice Address - Street 1:4350 JOSLYN RD
Practice Address - Street 2:
Practice Address - City:AUBURN HILLS
Practice Address - State:MI
Practice Address - Zip Code:48326-1329
Practice Address - Country:US
Practice Address - Phone:248-391-0508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-12
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901005236152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist