Most Relevant Information
Provider Data
| NPI Number: | 1003463944 |
| Provider Name: | JONATHON DAVID CONNORS OD |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | 4901005364 |
Most Important Dates
| Enumeration Date: | 08/26/2019 |
| Last Updated: | 09/10/2021 |
Provider Practice Location
1235 S CENTER RD STE 16
BURTON
MI
485091700
Practice Location Phone/Fax
| Phone: | 8107441950 |
| Fax: | 8107441515 |
Provider Mailing Location
PO BOX 19060
GREEN BAY
WI
543079060
Provider Mailing Phone/Fax
| Phone: | 9204292211 |
| Fax: |