Individual
JENNIFER STONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4501 JOE RAMSEY BLVD E, STE. 110, GREENVILLE, TX 75401-7836
(903) 454-1886
Mailing address
3616 NORTH FITZHUGH, DALLAS, TX 75204
(972) 722-5397
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5279TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102883902
—
TX
Enumeration date
12/05/2005
Last updated
11/19/2014
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