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JAY WILFRED MAUCK OD
NPI 1184608325
Optometrist in The Dalles, OR

Active since December 01, 2005
415 WASHINGTON ST, THE DALLES, OR 97058(541) 296-2911(541) 296-2224 Get Directions Write a Review

NPPES record last updated: November 16, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jay Wilfred Mauck Od NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAY WILFRED MAUCK OD (NPI 1184608325) is an individual optometrist in The Dalles, Oregon, licensed in Oregon (12417) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1184608325
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameJAY WILFRED MAUCKCredential: OD
Location Address415 WASHINGTON STThe Dalles, OR 97058-2215
Mailing AddressPo Box 883The Dalles, OR 97058-0883 · (541) 296-2911 · Fax (541) 296-2224
Phone(541) 296-2911
Fax(541) 296-2224
Sole ProprietorNo
Enumeration DateDecember 1, 2005
Last NPPES UpdateNovember 16, 2007
✔ NPI 1184608325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in OR · 12417
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
415 WASHINGTON ST, The Dalles, OR 97058
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Other Identifiers 4

Medicaid236026OR
Medicare UPINT90894
Medicare PINR00WCJSGDOR
Medicare ID-Type Unspecified00WCJ5GOOR

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT RAY PERKINS OD
Optometrist
415 WASHINGTON ST
THE DALLES, OR 97058
Wasco County (541) 296-2911
DRS MAUCK & PERKINS OPT PC
Optometrist
415 WASHINGTON ST
THE DALLES, OR 97058
Wasco County (541) 296-2911
RYAN MICHAEL LEBRETON OD
Optometrist
415 WASHINGTON ST
THE DALLES, OR 97058
Wasco County (541) 296-2911
DR. STEPHEN WESTGATE HAYNES O.D.
Optometrist
415 WASHINGTON ST
THE DALLES, OR 97058
Wasco County (541) 720-0234

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jay Mauck's NPI number?

The NPI number for Jay Mauck is 1184608325. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Where is Jay Mauck located?

Jay Mauck practices at 415 Washington St, The Dalles, OR 97058. The listed phone number is (541) 296-2911.

What is Jay Mauck's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Jay Mauck was last updated on November 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.