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NPI Code Detail

MEDICARE: JASON CORRIN

MEDICARE: JASON CORRIN
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
1156FX1800XOpticianOH

General Provider Information

NPI Number : 1093412801
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON CORRIN
Provider Business Mailing Address
First Line : 4572 MEGA ST NW
Second Line :
City : NORTH CANTON
State : OH
Zip : 44720-7098
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4572 MEGA ST NW
Second Line :
City : NORTH CANTON
State : OH
Zip : 44720-7098
Country : US
Telephone Number : 330-305-0337
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2023
Last Update Date : 02/13/2023

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Directions to “ JASON CORRIN ” Practice Location

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