Organization
EDWARD J JAGELA OD FAAO
Active
Other names
ohio valley vision center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD JAGELA OD (OPTOMETRIST OWNER)
(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
05
—
3810010122
—
WV
01
—
4201T497
AETNA
OH
Enumeration date
06/01/2007
Last updated
09/28/2020
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