Provider Demographics
NPI:1649226374
Name:DELANO, RONALD PHILIP (OD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:PHILIP
Last Name:DELANO
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 1:621 S 68TH AVE
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-1802
Mailing Address - Country:US
Mailing Address - Phone:509-966-1628
Mailing Address - Fax:509-453-6248
Practice Address - Street 1:1600 E CHESTNUT AVE
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98901-2174
Practice Address - Country:US
Practice Address - Phone:509-457-9219
Practice Address - Fax:509-576-4375
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-25
Last Update Date:2011-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOD00001475152WC0802X, 152WL0500X, 152WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152WL0500XEye and Vision Services ProvidersOptometristLow Vision Rehabilitation
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2031334OtherCOLUMBIA UNITED
WA6252DEOtherBCBS
WAT60848OtherHEALTH NET
WAWA1071OtherNORTHWEST ADMINISTRATORS
WA6252DEOtherREGENCE BLUESHIELD
WAT60848OtherPROVIDENCE
WA2031334OtherCOMMUNITY HEALTH PLAN
WA840926252OtherPREMERA BLUE CROSS
WAG8857730OtherPALMETTO GBA RAILROAD
WA2031334Medicaid
WA840926252OtherSUPERIOR VISION PLAN
WA2031334OtherCOLUMBIA UNITED
WA6252DEOtherBCBS