Provider Demographics
NPI:1740698620
Name:STRONG, JAMIE SLIGAR (OD)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:SLIGAR
Last Name:STRONG
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:158 INDUSTRIAL AVE STE B
Mailing Address - Street 2:
Mailing Address - City:AZLE
Mailing Address - State:TX
Mailing Address - Zip Code:76020-3135
Mailing Address - Country:US
Mailing Address - Phone:817-444-1717
Mailing Address - Fax:817-270-5100
Practice Address - Street 1:158 INDUSTRIAL AVE STE B
Practice Address - Street 2:
Practice Address - City:AZLE
Practice Address - State:TX
Practice Address - Zip Code:76020-3135
Practice Address - Country:US
Practice Address - Phone:817-444-1717
Practice Address - Fax:817-270-5100
Is Sole Proprietor?:No
Enumeration Date:2014-07-23
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8387TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist