Eubank, Jason C

Eubank, Jason C is an individual health care provider with primary practice located at 321 S Hillside St , Wichita KS 67211-2130. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Eubank, Jason C can be contacted via phone (316) 685-1898.

Contact Information

Primary practice address
321 S Hillside St Wichita KS 67211-2130
Phone: (316) 685-1898
Fax: (316) 685-4170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1595 Kansas

Profile Details

NPI number 1659347151
LBN Legal business name Eubank, Jason C
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Jul 21st, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659347151 NPPES
Kansas MEDICAID 100400830A

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