Individual
DR. LARRY D JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
320 MELVILLE DRIVE, PAULS VALLEY, OK 73075-6631
(405) 238-5566
Mailing address
PO BOX 602, PAULS VALLEY, OK 73075
(405) 238-5566
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
829
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100764210A
—
OK
Enumeration date
10/17/2006
Last updated
12/23/2011
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