Provider Demographics
NPI:1134230550
Name:HANKINS, RONALD LLOYD (OD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:LLOYD
Last Name:HANKINS
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 1:4703 E CHAPMAN AVE
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92869-4112
Mailing Address - Country:US
Mailing Address - Phone:714-538-4803
Mailing Address - Fax:714-538-6099
Practice Address - Street 1:4703 E CHAPMAN AVE
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92869-4112
Practice Address - Country:US
Practice Address - Phone:714-538-4803
Practice Address - Fax:714-538-6099
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6246 TPL152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD0062460Medicaid
CAT10272Medicare UPIN
CASD0062460Medicaid