Ronald E Serfoss, O.D.
Optometrist in Danville, IL. Individual provider (NPI-1).
NPI number1790762243
StatusActive
Last updated in NPPESAug 10, 2015
Details
- NPI
- 1790762243
- Entity type
- Individual (NPI-1)
- Name
- Ronald E Serfoss
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 27, 2005
- Last updated
- Aug 10, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 046-006593 | IL | Yes |
Practice location
1104 N Vermilion StChittick Family Eye Care
Danville, IL 61832-3094
Phone 217-442-2631 · Fax 217-442-0119
Mailing address
1104 N Vermilion StChittick Family Eye Care
Danville, IL 61832-3094
Phone 217-442-2631 · Fax 217-442-0119
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