Individual
JAKE PRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2111 BEASER AVE, ASHLAND, WI 54806-3608
(715) 682-0363
(715) 682-9638
Mailing address
2111 BEASER AVE, ASHLAND, WI 54806-3608
(715) 682-0363
(715) 682-9638
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12345
WI
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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