Individual
JEFFRY ALAN ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
10557 E HIGHWAY 51, BROKEN ARROW, OK 74014-2308
(918) 279-8830
(866) 871-7350
Mailing address
9543 N 35TH ST E, WAGONER, OK 74467-8127
(918) 260-8870
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2541
OK
Other
Enumeration date
07/20/2007
Last updated
12/13/2019
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