Individual
DR. JACK DINGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
262 NEIL AVE STE 420, COLUMBUS, OH 43215-7312
(614) 224-4297
(614) 224-5668
Mailing address
262 NEIL AVE STE 420, COLUMBUS, OH 43215-7312
(614) 224-4297
(614) 224-5668
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35.034836
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000116910
ANTHEM BC BS
OH
05
—
0139951
—
OH
01
—
0800048
UNITED HEALTHCARE
OH
01
—
4459708
AETNA
OH
01
—
4471296004
CIGNA
OH
Enumeration date
09/28/2006
Last updated
05/07/2020
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