Provider Demographics
NPI:1316918477
Name:VITTONE, RONALD B (MD)
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:B
Last Name:VITTONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1010 LIGONIER ST
Mailing Address - Street 2:
Mailing Address - City:LATROBE
Mailing Address - State:PA
Mailing Address - Zip Code:15650-1882
Mailing Address - Country:US
Mailing Address - Phone:724-539-1671
Mailing Address - Fax:724-539-1654
Practice Address - Street 1:1010 LIGONIER ST
Practice Address - Street 2:
Practice Address - City:LATROBE
Practice Address - State:PA
Practice Address - Zip Code:15650-1882
Practice Address - Country:US
Practice Address - Phone:724-539-1671
Practice Address - Fax:724-539-1654
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD027487L207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0005954220004Medicaid
PA102631OtherUPMC
PA584427OtherHIGHMARK BLUE SHIELD
PA000000056651OtherUNISON
PA0005954220003Medicaid
PA182875771OtherRAILROAD MEDICARE PTAN
PA0005954220001Medicaid
PA182875771OtherRAILROAD MEDICARE PTAN
PA584427Medicare PIN
PA0005954220001Medicaid