Tonya Ward Jackson Od PC

NPI #1205017779 in Tulsa, Oklahoma

Provider Information

NPI Number: 1205017779
Entity Type: Organization
Organization Name: Tonya Ward Jackson Od PC
Primary Specialty: Optometrist
Enumeration Date: Nov 26, 2007
Last Updated: Apr 16, 2009

Practice Location

Address: 8010 S 101ST EAST AVE
Address 2: SUITE 100
City: Tulsa
State: Oklahoma
ZIP Code: 74133-4562
Phone: (918) 252-7432

Authorized Official

Name: DR. TONYA W JACKSON, OD
Title: OPTOMETRIST
Phone: (918) 252-7432

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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