Individual
JANICE LEDREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
89 SYLVANIA DR, DAYTON, OH 45440-3281
(937) 320-2020
(937) 320-0504
Mailing address
89 SYLVANIA DR, DAYTON, OH 45440-3281
(937) 320-2020
(937) 320-0504
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3209T536
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000005917
ANTHEM
—
05
—
0469925
—
OH
01
—
1881627990
NPI
OH
01
—
2220162
UNITED HEALTHCARE
—
01
—
410035812
MEDICARE RAILROAD
OH
Enumeration date
07/09/2006
Last updated
02/13/2013
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