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DR. RONALD JOE ADCOCK OD

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1235178070

Individual Registrant:
DR. RONALD JOE ADCOCK OD
Gender: M
Sole Proprietor

Location and contact information for practice:
27900 N MAIN ST STE 1 DAPHNE, AL 36526 US
Tel: 251-621-1211  Fax: 251-621-9052

Contact information for business:
27900 N MAIN ST STE 1 DAPHNE, AL 36526 US
Tel: 251-621-1211  Fax: 251-621-9052

Registration Information:
NPI: 1235178070
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
ALS424TA003

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BCBS05102643301
000026433AL05
PALMETTO GBA40854068301




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