Healthcare Provider Details

I. General information

NPI: 1376711010
Provider Name (Legal Business Name): JASON AARON SOKOL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/15/2008
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7400 STATE LINE RD SUITE 100
PRAIRIE VILLAGE KS
66208-3444
US

IV. Provider business mailing address

PO BOX 411851
KANSAS CITY MO
64141-1851
US

V. Phone/Fax

Practice location:
  • Phone: 913-588-6605
  • Fax: 913-588-0888
Mailing address:
  • Phone: 913-588-6605
  • Fax: 913-588-0888

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number4301091487
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207WX0110X
TaxonomyPediatric Ophthalmology and Strabismus Specialist Physician Physician
License Number2010015953
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code207WX0110X
TaxonomyPediatric Ophthalmology and Strabismus Specialist Physician Physician
License Number04-34290
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: