Individual
DR. JEFFREY WADE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
127 LYNN AVE, OXFORD, OH 45056-1548
(513) 523-6339
(513) 523-6330
Mailing address
127 LYNN AVE, OXFORD, OH 45056-1548
(513) 523-6339
(513) 523-6330
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4090
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0751726
—
OH
Enumeration date
06/24/2005
Last updated
07/08/2007
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