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Individual

DR. JASON I GIM

Active
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Individual

DR. JASON I GIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
3284
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2019529
—
WA
01
—
625443
VISION CARE PLAN
WA
01
—
7125
MEDICAL EYE SERVICE
WA
01
—
GI6814
REGENCE BLUE SHIELD
WA
01
—
WA0716
NORTHWEST BENEFIT NETWORK
WA
01
—
WA3284
EYEMED VISION
WA
Enumeration date
09/29/2006
Last updated
07/09/2007
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