JAY WILFRED MAUCK, OD

NPI: 1184608325 · Individual · Active

Primary Specialty

Optometrist

Practice Location

415 WASHINGTON ST
THE DALLES, OR 97058-2215 Map ↗
Phone: 541-296-2911
Fax: 541-296-2224

All Specialties & Licenses

  • Optometrist Primary (license: 12417, OR)

NPI Registration

Enumerated: 2005-12-01

Last CMS Update: 2007-11-16