Provider Demographics
NPI:1205084787
Name:RAMOLIA, ANIKA (OD)
Entity type:Individual
Prefix:DR
First Name:ANIKA
Middle Name:
Last Name:RAMOLIA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6637 SURF CREST ST
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92011-2643
Mailing Address - Country:US
Mailing Address - Phone:714-496-9246
Mailing Address - Fax:
Practice Address - Street 1:7720 EL CAMINO REAL STE G
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92009-8509
Practice Address - Country:US
Practice Address - Phone:760-278-8068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-08
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG002144152W00000X
AZOPT-002747152W00000X
CA13802152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist