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NPI Code Detail

MEDICARE: DR. JASON DING O.D.

MEDICARE:  DR. JASON  DING  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
1152W00000XOptometristTUV 006938-1NY

General Provider Information

NPI Number : 1912967068
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JASON DING O.D.
Provider Business Mailing Address
First Line : 5291 BUNTING AVENUE
Second Line :
City : RICHMOND
State : BRITISH COLUMBIA
Zip : V7E 5X3
Country : CA
Telephone Number : 347-922-6047
Fax Number :
Provider Business Practice Location Address
First Line : 100 ALBANY POST RD
Second Line : 620-123
City : MONTROSE
State : NY
Zip : 10548-1415
Country : US
Telephone Number : 347-922-6047
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2006
Last Update Date : 07/08/2007

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Directions to “ DR. JASON DING O.D.” Practice Location

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