Individual
DR. JEFFREY DALE RICE
Active
Individual
DR. JEFFREY DALE RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3489T612
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000318176
BC/BS
OH
05
—
0435158
—
OH
01
—
P00139136
RAILROAD
—
Enumeration date
07/03/2006
Last updated
03/17/2008
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