Individual
JAMES EDWARD RIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1462 MARION WALDO RD, MARION, OH 43302-7422
(740) 389-5418
(740) 389-5410
Mailing address
1462 MARION WALDO RD, MARION, OH 43302-7422
(740) 389-5418
(740) 389-5410
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1268DT
KY
152W00000X
Optometrist
Primary
5526
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2678777
—
OH
Enumeration date
08/25/2006
Last updated
05/14/2014
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