Jacoby Dewald, OD

NPI 1740591973 · on the registry since 2010

Practice

Address: 1418 Main St
Woodward, OK 73801
Phone: (580) 256-6699
Fax: (580) 256-6706
Organisation at this address: Great Plains Vision Center
Ofelia Marin, Aprn, Fnp-Bc, Llc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 152W00000X
152W00000X
Licence states on file: OK
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2012-09-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma