Individual
DR. JAY K BERRY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2020 COLORADO AVE, STE A, TURLOCK, CA 95382-2002
(209) 667-6211
(209) 667-2574
Mailing address
2020 COLORADO AVE, STE A, TURLOCK, CA 95382-2002
(209) 667-6211
(209) 667-2574
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4483T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0044830
—
CA
Enumeration date
06/14/2005
Last updated
07/08/2007
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