Provider Demographics
NPI:1578530259
Name:RANFT, JAMES R (OD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:R
Last Name:RANFT
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:115 S TIPPECANOE DR
Mailing Address - Street 2:
Mailing Address - City:TIPP CITY
Mailing Address - State:OH
Mailing Address - Zip Code:45371-1194
Mailing Address - Country:US
Mailing Address - Phone:937-667-1270
Mailing Address - Fax:937-667-7198
Practice Address - Street 1:115 S TIPPECANOE DR
Practice Address - Street 2:
Practice Address - City:TIPP CITY
Practice Address - State:OH
Practice Address - Zip Code:45371-1194
Practice Address - Country:US
Practice Address - Phone:937-667-1270
Practice Address - Fax:937-667-7198
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4140/T099152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
2220191OtherUNITED HEALTHCARE
OH0867209Medicaid
280723589003OtherMEDICAL MUTUAL OF OHIO
00894(RAN)OtherVISION SERVICE PLAN
000000019100OtherANTHEM
280723589003OtherMEDICAL MUTUAL OF OHIO
OH0708042Medicare ID - Type Unspecified