Provider Demographics
NPI:1942202510
Name:ARENSTEIN, RONALD BARRY (OD)
Entity Type:Individual
Prefix:
First Name:RONALD
Middle Name:BARRY
Last Name:ARENSTEIN
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 1:2216 LINCOLN WAY E
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44646-7062
Mailing Address - Country:US
Mailing Address - Phone:330-832-9966
Mailing Address - Fax:330-832-6007
Practice Address - Street 1:2216 LINCOLN WAY E
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44646-7062
Practice Address - Country:US
Practice Address - Phone:330-832-9966
Practice Address - Fax:330-832-6007
Is Sole Proprietor?:No
Enumeration Date:2005-08-12
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3213/T341152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0484159Medicare PIN
OHT47196Medicare UPIN
OH0484158Medicare PIN