| Doctor Name: | RONALD SIWOFF |
| NPI Number: | 1013914175 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | O.D. |
| License Number: | 27OA003818 |
| Business Practice Address: | 75 Bloomfield Ave Suite 206 Denville, NJ - 078342734 |
| Business Phone Number: | 9736277787 |
| Business Fax Number: | 9736277701 |
| Mailing Address: | 75 Bloomfield Ave, Suite 206 DENVILLE |
| State: | NJ |
| Postal Code: | 078342734 |
| Phone Number: | 9736277787 |
| Fax Number: | 9736277701 |
| NPI Enumeration Date: | 07/05/2005 |
| NPI Last Update Date: | 05/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 03/20/2006 |
| NPI Reactivation Date: | 03/27/2006 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 152WL0500X |
| License Number: | 27OA003818 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Optometrist |
| Taxonomy Specialization: | Low Vision Rehabilitation |
| Taxonomy Definition: | Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. |