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Contact Information

JACK B BRIDGE, OD
5225 MORNING SUN RD
SUITE B
OXFORD, OH45056-8929
 Phone: 513-523-2020
 Fax: 513-523-1101
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for JACK B BRIDGE · (Male)

NPI Number 1447254099
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/10/2005
Last updated 04/16/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 3062T1243
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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