Provider Demographics
NPI:1881743441
Name:HOFFMAN, RONALD L (OD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:L
Last Name:HOFFMAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:333 E BROADWAY
Mailing Address - Street 2:APT 6H
Mailing Address - City:LONG BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11561-4301
Mailing Address - Country:US
Mailing Address - Phone:516-897-8281
Mailing Address - Fax:631-427-0356
Practice Address - Street 1:259 WALT WHITMAN RD
Practice Address - Street 2:STERLING OPTICAL
Practice Address - City:HUNTINGTON STATION
Practice Address - State:NY
Practice Address - Zip Code:11746-4119
Practice Address - Country:US
Practice Address - Phone:631-427-7300
Practice Address - Fax:631-427-0356
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NYT004132-1152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist