Dobson, Jason Tyler
Dobson, Jason Tyler is an individual health care provider with primary practice located at 1108 E State Highway 152 , Mustang OK 73064-5116. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dobson, Jason Tyler can be contacted via phone (405) 376-2429.Contact Information
Primary practice address
1108 E State Highway 152
Mustang OK 73064-5116
Phone: (405) 376-2429
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2807 | Oklahoma |
Profile Details
| NPI number | 1831507532 |
|---|---|
| LBN Legal business name | Dobson, Jason Tyler |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 25th, 2014 |
| Last updated | Aug 24th, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831507532 | NPPES |
| Oklahoma | MEDICAID | 200565820A |
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