Provider Demographics
NPI:1588788400
Name:HOYLE, RONALD KEITH JR (OD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:KEITH
Last Name:HOYLE
Suffix:JR
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:12609 S COUNTY ROAD 875 W
Mailing Address - Street 2:
Mailing Address - City:DALEVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47334-9709
Mailing Address - Country:US
Mailing Address - Phone:765-444-8042
Mailing Address - Fax:
Practice Address - Street 1:3300 W PURDUE AVE
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47304-6355
Practice Address - Country:US
Practice Address - Phone:765-288-1935
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-17
Last Update Date:2014-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1063152W00000X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist