Dr RICKY L WEIDOW is a male medical professional, specializing in Optometry. He graduated in 1993 from Southern College Of Optometry.
201 W WAYNE ST
LAGRANGE
IN
467611850
Tel:
Npi | 1639177793 |
Pac Id | 8921022328 |
Professional Enrollment Id | I20091223000119 |
Last Name | WEIDOW |
First Name | RICKY |
Middle Name | L |
Suffix | |
Gender | M |
Credential | |
Medical School Name | SOUTHERN COLLEGE OF OPTOMETRY |
Graduation Year | 1993 |
Primary Specialty | OPTOMETRY |
Secondary Specialty 1 | |
Secondary Specialty 2 | |
Secondary Specialty 3 | |
Secondary Specialty 4 | |
All Secondary Specialties | |
Organization Legal Name | |
Group Practice Pac Id | |
Number Of Group Practice Members | |
Line 1 Street Address | 201 W WAYNE ST |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | |
City | LAGRANGE |
State | IN |
Zip Code | 467611850 |
Phone Number | |
Hospital Affiliation Ccn 1 | |
Hospital Affiliation Lbn 1 | |
Hospital Affiliation Ccn 2 | |
Hospital Affiliation Lbn 2 | |
Hospital Affiliation Ccn 3 | |
Hospital Affiliation Lbn 3 | |
Hospital Affiliation Ccn 4 | |
Hospital Affiliation Lbn 4 | |
Hospital Affiliation Ccn 5 | |
Hospital Affiliation Lbn 5 | |
Professional Accepts Medicare Assignment | Y |
Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.