Oliver, Jaclyn
Oliver, Jaclyn is an individual health care provider with primary practice located at 721 E Milltown Rd , Wooster OH 44691-1331. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Oliver, Jaclyn can be contacted via phone (330) 287-4500.Contact Information
Primary practice address
721 E Milltown Rd
Wooster OH 44691-1331
Phone: (330) 287-4500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 6557 | Ohio |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 6557 | Ohio |
Profile Details
| NPI number | 1043662927 |
|---|---|
| LBN Legal business name | Oliver, Jaclyn |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2016 |
| Last updated | Nov 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043662927 | NPPES |
| Ohio | MEDICAID | 1043662927 |
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