Individual
DR. JEAN A. WRIGHTNOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
517 W PROSPECT RD, SUITE B, ASHTABULA, OH 44004-5864
(440) 992-9416
(440) 992-4987
Mailing address
517 W PROSPECT RD, SUITE B, ASHTABULA, OH 44004-5864
(440) 992-9416
(440) 992-4987
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4064/T709
OH
152WC0802X
Corneal and Contact Management Optometrist
4064/T709
OH
152WL0500X
Low Vision Rehabilitation Optometrist
4064/T709
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045874001
DMERC
OH
05
—
0714614
—
OH
Enumeration date
12/07/2005
Last updated
10/20/2008
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