Provider Demographics
NPI:1467531970
Name:VEAL, JAMI A (OD)
Entity Type:Individual
Prefix:DR
First Name:JAMI
Middle Name:A
Last Name:VEAL
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 E MATTHEWS AVE
Mailing Address - Street 2:
Mailing Address - City:JONESBORO
Mailing Address - State:AR
Mailing Address - Zip Code:72401-3145
Mailing Address - Country:US
Mailing Address - Phone:870-935-6396
Mailing Address - Fax:
Practice Address - Street 1:2207 LINWOOD DR
Practice Address - Street 2:
Practice Address - City:PARAGOULD
Practice Address - State:AR
Practice Address - Zip Code:72450-6120
Practice Address - Country:US
Practice Address - Phone:870-219-3961
Practice Address - Fax:870-236-1319
Is Sole Proprietor?:No
Enumeration Date:2006-11-03
Last Update Date:2018-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2560152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR158714722Medicaid
AR49927Medicare ID - Type Unspecified
ARV06560Medicare UPIN