MEDICARE: DR. MICHAEL FREDERICK RINGEL 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
1	152WC0802X	Corneal and Contact Management Optometrist	4585/T1328	OH
2	152WL0500X	Low Vision Rehabilitation Optometrist	4585/T1328	OH
3	152WP0200X	Pediatric Optometrist	4585/T1328	OH
4	152WX0102X	Occupational Vision Optometrist	4585/T1328	OH
5	152W00000X	Optometrist	4585/T1328	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	410037468	OTHER	OH	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	22-01250	OTHER	OH	UNITED HEALTHCARE
2	4673532	OTHER		AETNA PROVIDER#
3	000000022623	OTHER	OH	ANTHEM BLUE CROSS PROVDER
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881697126
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL FREDERICK RINGEL O.D.

Provider Business Mailing Address
First Line	:	1003 HARRISON AVE
Second Line	:	STE 100
City	:	HARRISON
State	:	OH
Zip	:	45030-1553
Country	:	US
Telephone Number	:	513-367-7900
Fax Number	:	513-367-7954

Provider Business Practice Location Address
First Line	:	1003 HARRISON AVE
Second Line	:	STE 100
City	:	HARRISON
State	:	OH
Zip	:	45030-1553
Country	:	US
Telephone Number	:	513-367-7900
Fax Number	:	513-367-7954

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	06/07/2022

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Directions to “ DR. MICHAEL FREDERICK RINGEL O.D.” Practice Location

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