National Provider Identifier Database

JACOBY J DEWALD, OD – NPI #1740591973
Optometrist

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye.


Contact Information

JACOBY J DEWALD, OD
1418 MAIN ST
WOODWARD, OK73801-3004
Phone: 580-256-6699
Fax: 580-256-6706
Website:
Specialty Taxonomy Code
* Optometrist 152W00000X

* Indicates primary specialty

NPI Profile & details for JACOBY J DEWALD

NPI Number 1740591973
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 06/22/2010
Last updated 09/21/2012 - About 14 years ago
Sole proprietor1 No
Identifiers
  • OK License #: 2647
  • OK Medicaid: 200298970A
Hospital affiliation n/a

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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