Tonya Ward Jackson Od Pc

NPI 1205017779 - Optometrist - 152W00000X

NPI Details
NPI 1205017779
Enumeration Date 11/26/2007
Last Updated 04/16/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TONYA W TONYA
Position OPTOMETRIST
Phone (918) 252-7432
Fax (918) 250-9003
Practice Location
8010 S 101ST EAST AVE
SUITE 100
TULSA OK, 74133-4562, US
Phone (918) 252-7432
Fax (918) 250-9003
Business Location
8010 S 101ST EAST AVE
SUITE 100
TULSA OK, 74133-4562, US
Phone (918) 252-7432
Fax (918) 250-9003
Toxanomy
Taxonomy Code 152W00000X
License State Oklahoma
License Number 1196
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According to our database, Tonya Ward Jackson Od Pc NPI is 1205017779, taxonomy code is 152W00000X and license number is 1196, license state is located at Oklahoma. Tonya Ward Jackson Od Pc physically located at 8010 S 101st East Ave, Tulsa OK, 74133-4562. NPI Number 1033115704 has the healthcare provider type.

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1205017779 NPI number is provided on an as is basis without warranty of any kind. 1205017779 is maintained by the National Plan & Provider Enumeration System. The contents of Tonya Ward Jackson Od Pc are for informational purposes only.