Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | DE |
NPI | 1013087725 |
---|---|
Provider Name | Dr. Ronald Sidney Pogach |
First Address | Wilmington, DE 19808-5001 |
Second Address | Wilmington, DE 19808-5001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/11/2006 |
Last Update Date | 30/08/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0526820001 | (02) | DE |
30504 | GVA I.D. (01) | DE |
33296 | COVENTRY I.D. (01) | DE |
51-0228512 DE 1130 | EYEMED I.D. (01) | DE |
81370 | SPECTERA I.D. (01) | DE |
DE1130 | VBA I.D. (01) | DE |
T-26918 | (02) | DE |