Provider Demographics
NPI:1457368326
Name:HINZ, RAMONA LOUISE (OD)
Entity Type:Individual
Prefix:DR
First Name:RAMONA
Middle Name:LOUISE
Last Name:HINZ
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:RAMONA
Other - Middle Name:HINZ
Other - Last Name:JONES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:1515 LAKE LANSING RD
Mailing Address - Street 2:SUITE G
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48912-3753
Mailing Address - Country:US
Mailing Address - Phone:517-332-2233
Mailing Address - Fax:
Practice Address - Street 1:1515 LAKE LANSING RD
Practice Address - Street 2:SUITE G
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-3753
Practice Address - Country:US
Practice Address - Phone:517-332-2233
Practice Address - Fax:517-332-8035
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901003667152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI22-00082OtherPHPMM
MI22-70082OtherPHPFC
MIOP10740001Medicare ID - Type UnspecifiedDR. RAMONA JONES
MI22-00082OtherPHPMM
MIOP10740Medicare ID - Type UnspecifiedGROUP #