Ridge, James Edward

Ridge, James Edward is an individual health care provider with primary practice located at 1462 Marion Waldo Rd , Marion OH 43302-7422. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ridge, James Edward can be contacted via phone (740) 389-5418.

Contact Information

Primary practice address
1462 Marion Waldo Rd Marion OH 43302-7422
Fax: (740) 389-5410
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 5526 Ohio
Eye and Vision Services Providers / Optometrist 152W00000X 1268DT Kentucky

Profile Details

NPI number 1811004690
LBN Legal business name Ridge, James Edward
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated May 14th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811004690 NPPES
Ohio MEDICAID 2678777

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