Evans, Jason Marion
Evans, Jason Marion is an sole proprietor health care provider with primary practice located at 470 N Mayo Trl , Paintsville KY 41240-1806. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Evans, Jason Marion can be contacted via phone (606) 789-0343.Contact Information
Primary practice address
470 N Mayo Trl
Paintsville KY 41240-1806
Phone: (606) 789-0343
Fax: (606) 788-7342
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1637DT | Kentucky |
Profile Details
| NPI number | 1992862148 |
|---|---|
| LBN Legal business name | Evans, Jason Marion |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1992862148 | NPPES |
| Kentucky | MEDICAID | 77001410 |
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