Organization · NPI-2

Jason Wonch Od And Associates A PC

Eyewear Supplier (Equipment, not the service) · Kenner, LA

NPI number1114018371
StatusActive
Last updated in NPPESApr 8, 2011

Details

NPI
1114018371
Entity type
Organization (NPI-2)
Legal business name
Jason Wonch Od And Associates A PC
Organization subpart
No
Enumeration date
Sep 27, 2006
Last updated
Apr 8, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
332H00000X Eyewear Supplier (Equipment, not the service)––Yes

Other names

  • Eyemasters (Doing Business As)

Practice location

1401 West Esplanade Boulevard
Suite 208
Kenner, LA 70065

Phone 504-461-3760 · Fax 504-461-5354

Mailing address

Po Box 849759
Dallas, TX 75284-9759

Phone 210-524-6663 · Fax 210-524-6587

Authorized official

Jason Wonch
Owner
9856418866

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