Doctor Name: | DR. RONALD S SHANE |
NPI Number: | 1023079480 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | O.D, O.M.D |
License Number: | OE004117PT |
Business Practice Address: | 826 N 4th St Sunbury, PA - 178011216 |
Business Phone Number: | 5702865401 |
Business Fax Number: | 5702867016 |
Mailing Address: | 826 N 4th St, SUNBURY |
State: | PA |
Postal Code: | 178011216 |
Phone Number: | 5702865401 |
Fax Number: | 5702867016 |
NPI Enumeration Date: | 03/28/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WP0200X |
License Number: | OE004117PT |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: | Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |