DR. Jack L Ewan, O.D.

NPI #1386789907 in London, Ohio

Provider Information

NPI Number: 1386789907
Entity Type: Individual
Name: DR. Jack L Ewan, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Feb 21, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 306 LAFAYETTE ST
Address 2: SUITE E
City: London
State: Ohio
ZIP Code: 43140-9069
Phone: (740) 852-4903

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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