Individual
DR. JASON DEON GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
200 N HARWOOD ST, NEWPORT, AR 72112-3683
(870) 523-3200
(870) 523-3204
Mailing address
200 N HARWOOD ST, NEWPORT, AR 72112-3683
(870) 523-3200
(870) 523-3204
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2478
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
138806722
—
AR
Enumeration date
11/09/2006
Last updated
01/23/2013
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