Provider Demographics
NPI:1053418657
Name:OYE, RONALD T (OD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:T
Last Name:OYE
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:730 SPAANS DR
Mailing Address - Street 2:STE A
Mailing Address - City:GALT
Mailing Address - State:CA
Mailing Address - Zip Code:95632
Mailing Address - Country:US
Mailing Address - Phone:209-745-2880
Mailing Address - Fax:209-745-6840
Practice Address - Street 1:730 SPAANS DR
Practice Address - Street 2:STE A
Practice Address - City:GALT
Practice Address - State:CA
Practice Address - Zip Code:95632
Practice Address - Country:US
Practice Address - Phone:209-745-2880
Practice Address - Fax:209-745-6840
Is Sole Proprietor?:No
Enumeration Date:2006-09-19
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAOPT5444TPA152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASD0054441Medicaid
CASD0054441Medicaid
CA0182750001Medicare NSC
CASD0054441Medicare PIN