Organization · Type 2 NPI
Jason Wonch Od and Associates Apc
Eyewear Supplier · Shreveport, LA
NPI number
1699050849
Active
Practice location
1133 Saint Vincent Ave, Box 34
Shreveport, LA 71104-4153
Fax (318) 227-8054
Mailing address
PO Box 849759
Dallas, TX 75284-9759
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Eyewear Supplier Primary | 332H00000X | None listed |
Eyewear Supplier: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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About NPI 1699050849
Jason Wonch Od and Associates Apc's National Provider Identifier is 1699050849, issued on Oct 19, 2011. The primary taxonomy on file is Eyewear Supplier (332H00000X), and the practice location is in Shreveport, LA. The record was last updated on Oct 19, 2011.