Jack F Mason Md Professional Corp
LBN: Jack F Mason Md Professional Corp
Jack F Mason Md Professional Corp is an health care organization with primary practice located at 555 S Dora St , Ukiah CA 95482-5424. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Jack F Mason Md Professional Corp can be contacted via phone (707) 462-0581, or through Mason, Jack F via phone (707) 462-0581.
Contact Information
Primary practice address
555 S Dora St
Ukiah CA 95482-5424
Phone: (707) 462-0581
Fax: (707) 463-0814
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X |
Profile Details
| NPI number | 1609811314 |
|---|---|
| LBN Legal business name | Jack F Mason Md Professional Corp |
| DBA Doing business as | |
| Authorized official | Mason, Jack F Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 17th, 2006 |
| Last updated | Aug 22nd, 2020 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609811314 | NPPES |
| California | MEDICAID | GR0080990 |
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