Organization
JASON T. DOBSON, OD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON TYLER DOBSON OD (OWNER)
(405) 517-0047
Entity
Organization
Contact information
Practice address
1108 E STATE HIGHWAY 152, MUSTANG, OK 73064-5116
(405) 376-2429
Mailing address
1108 E STATE HIGHWAY 152, MUSTANG, OK 73064-5116
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2807
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200551040A
—
OK
Enumeration date
08/22/2014
Last updated
08/24/2015
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