Organization
JEAN A. WRIGHTNOUR, O.D. INC.
Active
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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