Provider Demographics
NPI:1366400673
Name:DENNIS E. RATINOFF
Entity type:Organization
Organization Name:DENNIS E. RATINOFF
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:RATINOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-329-1600
Mailing Address - Street 1:725 UNIVERSITY AVE
Mailing Address - Street 2:STE. A
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94301-2148
Mailing Address - Country:US
Mailing Address - Phone:650-329-1600
Mailing Address - Fax:650-329-8474
Practice Address - Street 1:725 UNIVERSITY AVE
Practice Address - Street 2:STE. A
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94301-2148
Practice Address - Country:US
Practice Address - Phone:650-329-1600
Practice Address - Fax:650-329-8474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-03
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ZZZ30173ZOtherMEDICARE ID
ZZZ30173ZOtherMEDICARE ID
T09809Medicare UPIN