Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. A JACKSON BAILES, OD
Active Sole ProprietorMR. A JACKSON BAILES, OD is a Optometrist healthcare provider located in POMEROY, Ohio. NPI 1962498634 is currently active in the NPPES registry. Verify at CMS.
Optometrist · POMEROY, OH
Registration Details
- NPI Number
- 1962498634
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 27, 2005 (20.875836288753 yrs)
- Last Updated
- Jan 7, 2010
- License
-
3385T891 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
507 MULBERRY HEIGHTS RDPOMEROY, OH, 457699573Browse OH providers · Browse ZIP 45769
- Phone
- 7409923279
- Fax
- 7409926740
- Primary Specialty
-
Optometrist
152W00000X
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.