Individual
DR. JASON EDWARD HOLMES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1553 W 9000 S, WEST JORDAN, UT 84088-9219
(801) 561-7300
(801) 561-7300
Mailing address
1553 W 9000 S, WEST JORDAN, UT 84088-9219
(801) 561-7300
(801) 561-7300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
114312-9934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410985054103
—
UT
Enumeration date
05/15/2006
Last updated
07/09/2007
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