Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAY WILFRED MAUCK, OD
ActiveJAY WILFRED MAUCK, OD is a Optometrist healthcare provider located in THE DALLES, Oregon. NPI 1184608325 is currently active in the NPPES registry. Verify at CMS.
Optometrist · THE DALLES, OR
Registration Details
- NPI Number
- 1184608325
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 1, 2005 (20.668638495487 yrs)
- Last Updated
- Nov 16, 2007
- License
-
12417 (OR)
Practice Information
- Address
-
415 WASHINGTON STTHE DALLES, OR, 970582215Browse OR providers · Browse ZIP 97058
- Phone
- 5412962911
- Fax
- 5412962224
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in THE DALLES, OR
| Name | Credential | NPI |
|---|---|---|
| RYAN MICHAEL LEBRETON | OD | 1528042769 |
| ROBERT RAY PERKINS | OD | 1164406740 |
| DR. BERNARD JEFFREY PULK | O.D. | 1689653354 |
| DR. CHRISTOPHER G. BARBOUR | O.D. | 1619929650 |
| DR. DALE H BRICKER | O.D. | 1013082148 |
| DR. STEPHEN WESTGATE HAYNES | O.D. | 1952603805 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.