Individual
JACKELYN THERESA MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2201 W DOLARWAY RD STE 2, ELLENSBURG, WA 98926-8228
(509) 925-1000
(509) 925-2474
Mailing address
2201 W DOLARWAY RD STE 2, ELLENSBURG, WA 98926-8228
(509) 925-1000
(509) 925-2474
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9806
TX
152WL0500X
Low Vision Rehabilitation Optometrist
9806
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OD61047749
LICENSE
WA
Enumeration date
08/12/2019
Last updated
10/07/2020
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