Jay Wilfred Mauck is a The Dalles, Oregon based male Optometrist who is specialized in Optometry. Active license number of Jay Wilfred Mauck is 12417 for Optometry in Oregon. Jay Wilfred Mauck 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. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Jay Wilfred Mauck speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
OD
Gender:
Male
Practice Address:
415 Washington St, The Dalles, Oregon, 97058-2215
Phone:
541-296-2911
Fax:
541-296-2224
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1184608325
NPI Enumeration Date:
01 Dec, 2005
NPI Last Update On:
16 Nov, 2007
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jay Wilfred Mauck are as mentioned below.
License Number
Specialization
State
Status
12417
Optometry
Oregon
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Jay Wilfred Mauck such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
236026
Medicaid
Oregon
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 883, The Dalles, Oregon
Zip:
97058-0883
Phone Number:
541-296-2911
Fax Number:
541-296-2224
Patients can reach Jay Wilfred Mauck at 415 Washington St, The Dalles, Oregon or can call to book an appointment on 541-296-2911. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.