Individual
DR. JASON RICHARD PINGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6120 JOHNSON DR, MISSION, KS 66202-3333
(913) 262-3937
(913) 262-3942
Mailing address
6120 JOHNSON DR, MISSION, KS 66202-3333
(913) 262-3937
(913) 262-3942
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1671
KS
152WC0802X
Corneal and Contact Management Optometrist
1671
KS
152WP0200X
Pediatric Optometrist
1671
KS
152WS0006X
Sports Vision Optometrist
1671
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200419080A
—
KS
Enumeration date
06/26/2006
Last updated
02/19/2013
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