Provider Demographics
NPI:1811094709
Name:RATNER, NORMAN CHARLES (OD)
Entity type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:CHARLES
Last Name:RATNER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14219 MINORCA CV
Mailing Address - Street 2:
Mailing Address - City:DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92014-2932
Mailing Address - Country:US
Mailing Address - Phone:619-339-2504
Mailing Address - Fax:858-925-7522
Practice Address - Street 1:6945 EL CAJON BLVD
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92115-1754
Practice Address - Country:US
Practice Address - Phone:619-697-4600
Practice Address - Fax:619-697-2410
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA 5586152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD0055860Medicaid
CACP225AMedicare PIN