Organization
TONYA WARD JACKSON OD PC
Active
Other names
NEW VISION EYE AND LASER CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TONYA W JACKSON OD (OPTOMETRIST)
(918) 252-7432
Entity
Organization
Contact information
Practice address
8010 S 101ST EAST AVE, SUITE 100, TULSA, OK 74133-4562
(918) 252-7432
(918) 250-9003
Mailing address
8010 S 101ST EAST AVE, SUITE 100, TULSA, OK 74133-4562
(918) 252-7432
(918) 250-9003
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1196
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100760900B
—
OK
Enumeration date
11/26/2007
Last updated
04/16/2009
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