Organization
JEAN A. WRIGHTNOUR, O.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEAN A. WRIGHTNOUR OD (OWNER)
(440) 992-9416
Entity
Organization
Contact information
Practice address
517 W PROSPECT RD STE B, ASHTABULA, OH 44004-5864
(440) 992-9416
Mailing address
517 W PROSPECT RD STE B, ASHTABULA, OH 44004-5864
(440) 992-9416
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4064/T709
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0714614
—
OH
Enumeration date
08/05/2007
Last updated
03/03/2008
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