Individual
DR. EDWARD J. JAGELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D., F.A.A.O.
Contact information
Practice address
4100 JOHNSON RD, SUITE 204, STEUBENVILLE, OH 43952-2356
(740) 283-3937
(740) 283-1858
Mailing address
4100 JOHNSON RD, SUITE 204, STEUBENVILLE, OH 43952-2356
(740) 283-3937
(740) 283-1858
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4201/T497
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000213650
ANTHEM BC/BS
OH
01
—
0007520120
AETNA
OH
01
—
001720035
MOUNTAIN STATE BC/BS
OH
05
—
0149838001
—
WV
01
—
0898953
CARESOURCE
OH
05
—
0898953
—
OH
01
—
1068565
BUR OF WC (BRICKSTREET)
WV
01
—
4201T497
MEDICAL MUTUAL
OH
Enumeration date
09/13/2005
Last updated
05/16/2019
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