Organization
HOMETOWN VISION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD ALAN WHEELER O.D (OPTOMETRIST)
(440) 224-2141
Entity
Organization
Contact information
Practice address
6427 S MAIN ST, N KINGSVILLE, OH 44068-0509
(440) 224-2141
(440) 224-2436
Mailing address
6427 S MAIN ST, P.O. BOX 509, NORTH KINGSVILLE, OH 44068-0509
(440) 224-2141
(440) 224-2436
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
04039165
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000282169
ANTHEM BLUE CROSS
OH
05
—
0518596
—
OH
01
—
285641915009
MEDICAL MUTUAL
OH
01
—
410001554
RAILROAD MEDICARE
OH
01
—
60054
AETNA
OH
Enumeration date
12/06/2006
Last updated
11/20/2012
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