Individual
DR. JACLYN OLIVER
Active
Individual
DR. JACLYN OLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6557
OH
152WC0802X
Corneal and Contact Management Optometrist
6557
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043662927
—
OH
Enumeration date
07/05/2016
Last updated
11/21/2022
Update your record
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