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General NPI Number Information
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NPI Number | 1790997419
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Entity Type | Individual
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Provider Name | JASON R. HOCHREITER OD
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Gender | Male
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 03/03/2010
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Provider Practice Location Address
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Address Line | 603 RIDGE RD
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City | WEBSTER
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State | NY
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Zip | 14580-2316
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Country | US
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Telephone | 585-671-3300
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Fax | 585-671-2540
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Provider Business Mailing Address
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Address Line | 6195 SOUTHBROOK DR
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City | ONTARIO
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State | NY
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Zip | 14519-9211
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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 |
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Name |
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Credential |
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Telephone |
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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 | 210
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License Number State | AK
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 007485
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 152WP0200X
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Taxonomy Name | Pediatric Optometrist
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License Number | 007485
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | 007485
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License Number State | NY
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