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General NPI Number Information
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NPI Number | 1134306707
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Entity Type | Organization
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Legal Business Name | JASS EYECARE P.C.
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Dates
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Enumeration Date | 01/26/2008
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Last Update Date | 11/17/2023
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Provider Practice Location Address
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Address Line | 986 S BARTLETT RD
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City | BARTLETT
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State | IL
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Zip | 60103-6500
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Country | US
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Telephone | 630-837-7630
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Fax | 630-837-3292
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Provider Business Mailing Address
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Address Line | 986 S BARTLETT RD
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City | BARTLETT
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State | IL
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Zip | 60103-6500
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. RYAN JASS
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Credential | O.D.
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Telephone | 815-953-0471
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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