Individual
JACOB TERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3600 OLENTANGY RIVER RD STE B, COLUMBUS, OH 43214-3437
(614) 451-7244
(614) 545-0749
Mailing address
PO BOX 207170, DALLAS, TX 75320-7170
(636) 200-4393
(636) 527-0766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.007054
OH
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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