# JONATHAN H LASS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1366431942
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 35043240 | OH | Yes |

## Other

- **Enumeration date:** 10/17/2005
- **Last updated:** 01/10/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000221072 | UNISON | OH |
| 01 | — | 000000512667 | ANTHEM | OH |
| 01 | — | 0398270 | BCMH | OH |
| 05 | — | 0398270 | — | OH |
| 01 | — | 363739 | WELLCARE | OH |
| 01 | — | 660752 | AETNA | OH |
| 01 | — | 734684 | BUCKEYE | OH |
| 01 | — | P00398029 | RAILROAD MEDICARE | OH |