Provider Demographics
NPI:1881697126
Name:RINGEL, MICHAEL FREDERICK (OD)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:FREDERICK
Last Name:RINGEL
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1003 HARRISON AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:HARRISON
Mailing Address - State:OH
Mailing Address - Zip Code:45030-1553
Mailing Address - Country:US
Mailing Address - Phone:513-367-7900
Mailing Address - Fax:513-367-7954
Practice Address - Street 1:1003 HARRISON AVE
Practice Address - Street 2:STE 100
Practice Address - City:HARRISON
Practice Address - State:OH
Practice Address - Zip Code:45030-1553
Practice Address - Country:US
Practice Address - Phone:513-367-7900
Practice Address - Fax:513-367-7954
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4585/T1328152WC0802X, 152WL0500X, 152WP0200X, 152WX0102X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152WL0500XEye and Vision Services ProvidersOptometristLow Vision Rehabilitation
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics
No152WX0102XEye and Vision Services ProvidersOptometristOccupational Vision
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH22-01250OtherUNITED HEALTHCARE
4673532OtherAETNA PROVIDER#
OH000000022623OtherANTHEM BLUE CROSS PROVDER
OH410037468OtherRAILROAD MEDICARE
OH0989976Medicaid
OH22-01250OtherUNITED HEALTHCARE