Provider Demographics
NPI:1689113151
Name:RONA Z. SILKISS, MD, FACS
Entity Type:Organization
Organization Name:RONA Z. SILKISS, MD, FACS
Other - Org Name:SILKISS EYE SURGERY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RONA
Authorized Official - Middle Name:Z
Authorized Official - Last Name:SLKISS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:510-763-0881
Mailing Address - Street 1:400 29TH ST
Mailing Address - Street 2:SUITE 315
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-3522
Mailing Address - Country:US
Mailing Address - Phone:510-763-0881
Mailing Address - Fax:510-763-0907
Practice Address - Street 1:400 29TH ST
Practice Address - Street 2:SUITE 315
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-3522
Practice Address - Country:US
Practice Address - Phone:510-763-0881
Practice Address - Fax:510-763-0907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-16
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G458220OtherMEDICARE PTAN