RONNIE CLEON NEWKIRK SR.


Address: 4300 Deer Creek Ln, Wilmington, NC 28405
Phone: 9107903903

RONNIE CLEON NEWKIRK SR. (NPI# 1124207840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124207840
Entity Type Individual
Full Name RONNIE CLEON NEWKIRK SR.
Credential OPTICIAN
Practice Address 4300 Deer Creek Ln
Wilmington
NC 28405
Practice Telephone 9107903903
Practice Fax Number 9107905324
Mailing Telephone 9107903903
Mailing Fax Number 9107905324
Enumeration Date 2007-10-30
Last Update Date 2007-10-30
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
1396 NC Eye and Vision Services Providers

Office Location

Street Address 4300 DEER CREEK LN
City WILMINGTON
State NC
Zip Code 28405

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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

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City WILMINGTON
Zip Code 28405

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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