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Dr. Ricky Lee Weidow, OD
Pediatric Optometrist in Lagrange, Indiana
NPI 1639177793

Ricky Lee Weidow is a Pediatric Optometrist based in Lagrange, IN and is specialized in Pediatrics. Ricky Lee Weidow practices in Lagrange, IN and has the professional credentials of OD. The NPI Number for Ricky Lee Weidow is 1639177793 and holds a License No. 18002670A/B (Indiana).

The current practice location address for Ricky Lee Weidow is 201 W Wayne St, Lagrange, IN and can be reached out via phone at 260-463-3421 and via fax at 260-463-7347. You can also correspond with Ricky Lee Weidow through the mailing address at 201 W WAYNE ST, LAGRANGE, IN - 46761-1850 (mailing address contact number: 260-463-3421).

Location: 201 W Wayne St, Lagrange, IN, 46761-1850
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639177793
Provider Name
Ricky Lee Weidow
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
201 W Wayne St, Lagrange, IN, 46761-1850
Phone Number
260-463-3421
Fax Number
260-463-7347
Provider Enumeration Date
07/12/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000635212 01 IN ANTHEM BC/BS NWIELC KNOX
2604633421 01 IN VISION SERVICE PLAN LAGRANGE
5742334109 01 IN VISION SERVICE PLAN SOUTH BEND
2605932505 01 IN VISION SERVICE PLAN TOPEKA
000000257711 01 IN ANTHEM BC/BS LAGRANGE
000000257712 01 IN ANTHEM BC/BS TOPEKA
1174740682 01 IN RENAISSANCE OCULAR DISEASE AND TRAUMA FOUNDATION TYPE 2 GROUP NPI
200097680C 05 IN
200097680E 05 IN
200097680D 05 IN
institution
Provider Business Practice Location Address Details
Address
201 W Wayne St
City
Lagrange
State
Indiana
Zip
46761-1850
Phone Number
260-463-3421
Fax Number
260-463-7347
person
Provider Business Mailing Address Details
Address
201 W Wayne St
City
Lagrange
State
Indiana
Zip
46761-1850
Phone Number
260-463-3421
Fax Number
260-463-7347
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Optometrist
Speciality
-
Taxonomy
152W00000X
License No.
18002670A/B (Indiana)
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
person
Provider's Taxonomy Details 2
Type
Eye and Vision Services Providers
Classification
Optometrist
Speciality
Corneal and Contact Management
Taxonomy
152WC0802X
License No.
18002670A/B (Indiana)
Definition
The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea's ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear.
person
Provider's Taxonomy Details 3
Type
Eye and Vision Services Providers
Classification
Optometrist
Speciality
Pediatrics
Taxonomy
152WP0200X
License No.
18002670A/B (Indiana)
Definition
Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.
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