MEDICARE: DR. JASON T GAREY O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	2476	CO

General Provider Information

NPI Number	:	1801878053
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JASON T GAREY O.D.

Provider Business Mailing Address
First Line	:	130 N 9TH ST
Second Line	:
City	:	STEAMBOAT SPRINGS
State	:	CO
Zip	:	80477
Country	:	US
Telephone Number	:	970-879-4266
Fax Number	:	970-879-7692

Provider Business Practice Location Address
First Line	:	2403 N 12TH ST
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81501-8130
Country	:	US
Telephone Number	:	970-243-8697
Fax Number	:	970-243-8698

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/15/2005
Last Update Date	:	12/12/2017

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