Individual
DR. JEFFREY DAVID SHROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7101 NE 137TH AVE, VANCOUVER, WA 98682-4933
(800) 813-2000
Mailing address
2501 NW 124TH ST, VANCOUVER, WA 98685-2025
(360) 433-9769
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2841T
OR
152W00000X
Optometrist
Primary
OD00003719
WA
Other
Enumeration date
09/21/2006
Last updated
02/04/2022
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