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
1	152W00000X	Optometrist	TUV 006938-1	NY

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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