Individual
DR. JAMIE LYNN ELKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
7409 S ERIE AVE, TULSA, OK 74136-7104
(979) 575-3625
Mailing address
7409 S ERIE AVE, TULSA, OK 74136-7104
(979) 575-3625
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7641TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3163172-01
—
TX
Enumeration date
08/09/2010
Last updated
04/22/2014
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