Provider Demographics
NPI:1861500175
Name:RAMOS, OSCAR (OD)
Entity Type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:
Last Name:RAMOS
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 1:798 W SERVICE RD
Mailing Address - Street 2:
Mailing Address - City:WEST MEMPHIS
Mailing Address - State:AR
Mailing Address - Zip Code:72301-1727
Mailing Address - Country:US
Mailing Address - Phone:870-732-2066
Mailing Address - Fax:870-732-2066
Practice Address - Street 1:798 W SERVICE RD
Practice Address - Street 2:
Practice Address - City:WEST MEMPHIS
Practice Address - State:AR
Practice Address - Zip Code:72301-1727
Practice Address - Country:US
Practice Address - Phone:870-732-2066
Practice Address - Fax:870-732-0354
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-27
Last Update Date:2021-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2465152W00000X
TN1142152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3596890Medicaid
TN11590361OtherCAQH
AR145184722Medicaid
TN11590361OtherCAQH