Organization
JILLIAN IRIS OKEEFE OD PA
Active
Parent organization
WINSTON SALEM OPTOMETRIC
Other names
Oscar Oglethorpe
Organization subpart
Yes
Provider details
NPI number
Legal business name
WINSTON SALEM OPTOMETRIC
Authorized official
JILLIAN IRIS OKEEFE OD (OWNER/OPTOMETRIST)
(336) 722-5346
Entity
Organization
Contact information
Practice address
226 S ELM ST, GREENSBORO, NC 27401-2692
(336) 333-2993
Mailing address
226 S ELM ST, GREENSBORO, NC 27401-2692
(336) 333-2993
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821153230
NPI
NC
Enumeration date
06/05/2019
Last updated
06/11/2019
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