DR. RICKY WEIDOW, O.D.

Optometrist

Active Individual
NPI: 1639177793

Practice Address

201 W WAYNE ST
Lagrange, IN 46761

Phone: (260) 463-3421

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes 18002670A/B (IN)
Optometrist - Corneal and Contact Management 152WC0802X No 18002670A/B (IN)
Optometrist - Pediatrics 152WP0200X No 18002670A/B (IN)

Frequently Asked Questions

NPI 1639177793 is the National Provider Identifier for DR. RICKY WEIDOW, O.D., a Optometrist provider located in Lagrange, IN. This NPI was enumerated on July 12, 2005.
DR. RICKY WEIDOW, O.D. practices at 201 W WAYNE ST, Lagrange, IN 46761.

Quick Facts

NPI
1639177793
Type
Individual
Enumerated
Jul 12, 2005
Last Updated
Feb 14, 2010

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