Individual
DR. JAY SHERIFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4206 KEMP BLVD, # B, WICHITA FALLS, TX 76308-2846
(940) 696-2653
(940) 696-2685
Mailing address
4206 KEMP BLVD, # B, WICHITA FALLS, TX 76308-2846
(940) 696-2653
(940) 696-2685
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5971TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148908001
—
TX
Enumeration date
10/20/2006
Last updated
07/11/2008
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