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Organization

EDWARD J JAGELA OD FAAO PROFESSIONAL LLC

Active
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Organization

EDWARD J JAGELA OD FAAO PROFESSIONAL LLC

Active
Other names
ohio valley vision center, Ohio Valley Vision Center
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICIA MARIE DAURORA (BILLER)
(740) 283-3937
Entity
Organization

Contact information

Practice address
4100 JOHNSON RD STE 204, STEUBENVILLE, OH 43952-2365
(740) 283-3937
(740) 283-1858
Mailing address
4100 JOHNSON RD STE 204, STEUBENVILLE, OH 43952-2365
(740) 283-3937
(740) 283-1858

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4201T497
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000205776
ANTHEM BCBS
OH
01
001708312
MOUNTAIN STATE BCBS
OH
05
2188967
OH
01
23608815203
MEDICAL MUTUAL
OH
01
341903280026
CARESOURCE
OH
05
3810010122
WV
01
4201T497
AETNA
OH
Enumeration date
06/01/2007
Last updated
07/01/2026
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