Individual
RONALD KEVIN JURCAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
16706 CHILLICOTHE RD 500, CHAGRIN FALLS, OH 44023-4573
(440) 708-0020
(440) 708-0302
Mailing address
16706 CHILLICOTHE RD 500, CHAGRIN FALLS, OH 44023-4573
(440) 708-0020
(440) 708-0302
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3865
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000228073
ANTHEM
OH
01
—
2529900
UNITED HEALTHCARE
OH
Enumeration date
03/01/2007
Last updated
09/11/2015
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