Individual
JACK B BRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
5225 MORNING SUN RD, SUITE B, OXFORD, OH 45056-8929
(513) 523-2020
(513) 523-1101
Mailing address
5225 MORNING SUN RD, DOCTORS PARK MEDICAL BLDG, OXFORD, OH 45056-8929
(513) 523-2020
(513) 523-1101
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3062T1243
OH
Other
Enumeration date
06/10/2005
Last updated
04/16/2012
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