Ronald Andino, O.D.

Individual provider Active NPI Optometrist · Beaver Falls, PA

NPI 1316169147 · NPPES record last updated Apr 30, 2008

Key facts

NPI
1316169147
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
OEG001295 (PA)
Practice address
2560 Darlington Road
Beaver Falls, PA 15010
Phone
(724) 843-2025
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
OEG001295PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Prazer, OD Optometrist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG001295 PA Yes
Optometrist 152W00000X MA0491237 PA

Addresses

Primary practice location

2560 Darlington Road
Beaver Falls, PA 15010

Mailing address

116 Howley Ave
Beaver Falls, PA 15010

Other identifiers

IdentifierTypeStateIssuer
459894OtherPAHIGHMARK - DOCTOR NUMBER
25-1326118OtherPAMISCELLANEOUS INSURANCES
AN138222OtherPAHIGHMARK -ANDINO EYE CARE

Other providers in Beaver Falls, PA

All providers in Beaver Falls, PA · Optometrist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.