Individual
JESSE DEAN OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1120 S 9TH ST, RICHMOND, IN 47374-6240
(765) 939-2000
(765) 939-0271
Mailing address
1120 S 9TH ST, RICHMOND, IN 47374-6240
(765) 939-2000
(765) 939-0271
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18002756A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200075410
—
IN
Enumeration date
10/20/2006
Last updated
05/06/2008
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