Provider Demographics
NPI:1770206179
Name:RONIE J ZARUCHES OD LLC
Entity type:Organization
Organization Name:RONIE J ZARUCHES OD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OD
Authorized Official - Prefix:
Authorized Official - First Name:RONIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:ZARUCHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-276-5372
Mailing Address - Street 1:571 LINTON BLVD STE B1
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33444-8141
Mailing Address - Country:US
Mailing Address - Phone:561-276-5372
Mailing Address - Fax:
Practice Address - Street 1:571 LINTON BLVD STE B1
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33444-8141
Practice Address - Country:US
Practice Address - Phone:561-276-5372
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-21
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty