Dr. Jason Gebran, OD
Optometrist in Perryville, MD. Individual provider (NPI-1).
NPI number1982265047
StatusActive
Last updated in NPPESJun 2, 2020
Details
- NPI
- 1982265047
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jason Gebran
- Credential
- OD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 27, 2019
- Certification date
- Jun 2, 2020
- Last updated
- Jun 2, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 0618002767 | VA | Yes |
Practice location
515 Broad StPerryville, MD 21903-2734
Phone 410-642-2411
Mailing address
6621 Hiddenite CtAlexandria, VA 22310-2419
Phone 703-401-9971
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