A Jackson Bailes, OD

Optometrist · Pomeroy, OH

Individual Active NPI

NPI number 1962498634

Practice location

507 Mulberry Heights Rd
Pomeroy, OH 45769-9573
Phone
(740) 992-3279
Fax
(740) 992-6740

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NPI record

NPI
1962498634
Entity type
Individual (Type 1)
Enumeration date
September 27, 2005
Last updated
January 7, 2010
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 3385T891 OH

Mailing address

507 Mulberry Heights Rd
Pomeroy
Pomeroy, OH 45769-9573
Phone
(740) 992-3279
Fax
(740) 992-6740

About Dr. Bailes

A Jackson Bailes, OD is a healthcare provider registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 507 Mulberry Heights Rd, Pomeroy, OH 45769-9573. The NPI number 1962498634 was assigned on September 27, 2005 and the record was last updated on January 7, 2010.

Dr. Bailes lists a license in the registry: #3385T891 (OH) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of A Jackson Bailes, OD?

The NPI number is 1962498634.

What is the phone number of Dr. Bailes?

The phone number listed for the practice location is (740) 992-3279.

Where is Dr. Bailes located?

507 Mulberry Heights Rd, Pomeroy, OH 45769-9573.

What is the taxonomy code for Dr. Bailes?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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