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NPI Code Detail

MEDICARE: DR. RONALD ALLAN WHEELER O.D.

MEDICARE:  DR. RONALD ALLAN WHEELER  O.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometrist3697OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2410001554OTHEROHRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1134112022
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RONALD ALLAN WHEELER O.D.
Provider Business Mailing Address
First Line : 6427 SOUTH MAIN ST.
Second Line : PO BOX 509
City : NORTH KINGSVILLE
State : OH
Zip : 44068
Country : US
Telephone Number : 440-224-2141
Fax Number : 440-224-2436
Provider Business Practice Location Address
First Line : 6427 SOUTH MAIN ST.
Second Line :
City : NORTH KINGSVILLE
State : OH
Zip : 44068
Country : US
Telephone Number : 440-224-2141
Fax Number : 440-224-2436
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2005
Last Update Date : 03/13/2009

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Directions to “ DR. RONALD ALLAN WHEELER O.D.” Practice Location

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