Individual
MADISON JANE GERK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10010 E 81ST ST STE 100, TULSA, OK 74133-4558
(918) 250-2020
Mailing address
405 S 1ST PL, BROKEN ARROW, OK 74012-4149
(918) 577-1191
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3298
OK
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/12/2025
Last updated
03/05/2026
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