JAY MAUCK, OD
Optometrist
Active
Individual
NPI: 1184608325
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist | 152W00000X | Yes | 12417 (OR) |
Frequently Asked Questions
NPI 1184608325 is the National Provider Identifier for JAY MAUCK, OD, a Optometrist provider located in The Dalles, OR. This NPI was enumerated on December 1, 2005.
JAY MAUCK, OD practices at 415 WASHINGTON ST, The Dalles, OR 97058.
Quick Facts
- NPI
- 1184608325
- Type
- Individual
- Enumerated
- Dec 1, 2005
- Last Updated
- Nov 16, 2007
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