Jason Evans Od Llc

LBN: Jason Evans Od Llc
Jason Evans Od Llc is an health care organization with primary practice located at 470 N Mayo Trl , Paintsville KY 41240-1806. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Jason Evans Od Llc can be contacted via phone (606) 789-0343, or through Evans, Jason Marion via phone (606) 789-0343.

Contact Information

Primary practice address
470 N Mayo Trl Paintsville KY 41240-1806
Phone: (606) 789-0343
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Evans, Jason Marion Doctor of Optometry (OD)
Phone: (606) 789-0343

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1637DT Kentucky

Profile Details

NPI number 1023294303
LBN Legal business name Jason Evans Od Llc
DBA Doing business as
Authorized official Evans, Jason Marion Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2008
Last updated Jan 16th, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023294303 NPPES
Kentucky MEDICAID 77001410

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