Individual
JAMES A MCDONEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4214T78
OH
152W00000X
Optometrist
Primary
TUV007141-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000006965
ANTHEM
—
05
—
02911700
—
NY
05
—
0901224
—
OH
01
—
2220272
UNITED HEALTH CARE
—
Enumeration date
02/09/2007
Last updated
03/07/2012
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