Individual
DR. JASON DAVID PICKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4720 N CLASSEN BLVD, OKLAHOMA CITY, OK 73118-4837
(405) 528-1207
(405) 528-0279
Mailing address
4720 N CLASSEN BLVD, OKLAHOMA CITY, OK 73118-4837
(405) 528-1207
(405) 528-0279
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2495
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200093630A
—
OK
Enumeration date
09/15/2006
Last updated
12/16/2009
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