Individual
DR. JASON KENNAN WINTERBOTTOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
7849 TYLERSVILLE RD, WEST CHESTER, OH 45069-2510
(513) 298-5170
(513) 755-0658
Mailing address
7849 TYLERSVILLE RD, WEST CHESTER, OH 45069-2510
(513) 298-5170
(513) 755-0658
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5515
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5515E
HUMANA
—
Enumeration date
11/30/2005
Last updated
09/20/2022
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