Individual
DOUGLAS R. MCCLOY II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
254 S MAIN ST, MARION, OH 43302
(740) 387-6880
(740) 387-7443
Mailing address
254 S MAIN ST, MARION, OH 43302
(740) 387-6880
(740) 387-7443
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4665 T1440
OH
152W00000X
Optometrist
Primary
OH4665
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000223971
ANTHEM
OH
01
—
1791851
UNITED HEALTHCARE
OH
05
—
2036764
—
OH
01
—
410048818
RAILROAD MEDICARE
OH
01
—
410048891
RAILROAD MEDICARE
OH
01
—
5340225
AETNA
OH
Enumeration date
07/20/2005
Last updated
02/02/2010
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