Individual
JACOB DANIEL LOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4377 WOODBINE RD, PACE, FL 32571-8792
(850) 995-4555
(850) 995-4556
Mailing address
460 E NINE MILE RD, PENSACOLA, FL 32514-1441
(850) 477-1499
(850) 479-3359
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC6464
FL
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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