Dr. Ricky Lee Weidow is a Lagrange, Indiana based male Optometrist with 31 years of experience in Optometry. He completed his graduation from Southern College Of Optometry in 1993. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Ricky Lee Weidow is 18002670A/B for Optometry in Indiana. Dr. Ricky Lee Weidow 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. He 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. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Dr. Ricky Lee Weidow speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
31+ years
Medical School Attended:
Southern College Of Optometry
Graduation Year:
1993
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
201 W Wayne St, Lagrange, Indiana, 46761-1850
Phone:
260-463-3421
Fax:
260-463-7347
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8921022328
Enrollment ID:
I20091223000119
NPI Number:
1639177793
NPI Enumeration Date:
12 Jul, 2005
NPI Last Update On:
14 Feb, 2010
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Ricky Lee Weidow are as mentioned below.
License Number
Specialization
State
Status
18002670A/B
Optometry
Indiana
Primary
18002670A/B
Optometry - Corneal and Contact Management
Indiana
Secondary
18002670A/B
Optometry - Pediatrics
Indiana
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Ricky Lee Weidow such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
000000635212
Other
Indiana
ANTHEM BC/BS NWIELC KNOX
2604633421
Other
Indiana
VISION SERVICE PLAN LAGRANGE
5742334109
Other
Indiana
VISION SERVICE PLAN SOUTH BEND
2605932505
Other
Indiana
VISION SERVICE PLAN TOPEKA
000000257711
Other
Indiana
ANTHEM BC/BS LAGRANGE
000000257712
Other
Indiana
ANTHEM BC/BS TOPEKA
1174740682
Other
Indiana
RENAISSANCE OCULAR DISEASE AND TRAUMA FOUNDATION TYPE 2 GROUP NPI
200097680C
Medicaid
Indiana
200097680E
Medicaid
Indiana
200097680D
Medicaid
Indiana
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
201 W Wayne St, Po Box 150 Lagrange, Indiana
Zip:
46761-1850
Phone Number:
260-463-3421
Fax Number:
260-463-7347
Patients can reach Dr. Ricky Lee Weidow at 201 W Wayne St, Lagrange, Indiana or can call to book an appointment on 260-463-3421. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.
Comments/ Reviews:
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