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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JACOBY JOHN DEWALD, OD

Active

DR. JACOBY JOHN DEWALD, OD is a Optometrist healthcare provider located in WOODWARD, Oklahoma. NPI 1740591973 is currently active in the NPPES registry. Verify at CMS.

Optometrist · WOODWARD, OK

Registration Details

NPI Number
1740591973
Provider Type
Individual
Gender
Male
NPI Issued
Jun 22, 2010 (16.128560390191 yrs)
Last Updated
Sep 21, 2012
License
2647 (OK)

Practice Information

Address
1418 MAIN ST
WOODWARD, OK, 738013004
Browse OK providers · Browse ZIP 73801
Phone
5802566699
Fax
5802566706
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in WOODWARD, OK

Name Credential NPI
DR. JIMMY D SMART OD 1114983897
DR. DAVID C JONES OD 1417977844
DAVID PAUL PECK O.D. 1851486625
DR. JOHN PAUL HAWKINS O.D. 1285704411
GREGORY S COOK OD INC. 1265500110
KRISTI B MOSELEY OD 1154473254
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.