Individual
DR. JOHN T ARDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
928 S BOLTON ST, JACKSONVILLE, TX 75766-2906
(903) 586-7900
(903) 586-4373
Mailing address
928 S BOLTON ST, JACKSONVILLE, TX 75766-2906
(903) 586-7900
(903) 586-4373
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2817TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041188603
—
TX
01
—
85B845
BCBS
TX
Enumeration date
07/07/2005
Last updated
02/20/2024
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