Individual
DR. TONYA WARD JACKSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
7114 S MINGO RD, TULSA, OK 74133-3241
(918) 285-7432
(918) 250-9003
Mailing address
7114 S MINGO RD, TULSA, OK 74133-3241
(918) 285-7432
(918) 250-9003
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1196
OK
Other
Enumeration date
01/11/2006
Last updated
07/08/2007
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