Provider Demographics
NPI:1124446067
Name:RANJEET S. BAJWA, OD, INC.
Entity type:Organization
Organization Name:RANJEET S. BAJWA, OD, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RANJEET
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:BAJWA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:805-453-9165
Mailing Address - Street 1:1889 KNOLL DR
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-7348
Mailing Address - Country:US
Mailing Address - Phone:805-642-2574
Mailing Address - Fax:805-642-1830
Practice Address - Street 1:1889 KNOLL DR
Practice Address - Street 2:
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003-7348
Practice Address - Country:US
Practice Address - Phone:805-642-2574
Practice Address - Fax:805-642-1830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-28
Last Update Date:2019-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty