Individual
DR. JASON MATTHEW STORMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4801 W CLARA LN, MUNCIE, IN 47304
(765) 284-8460
Mailing address
4801 W CLARA LN, MUNCIE, IN 47304-5548
(765) 284-8460
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003686
IN
Other
Enumeration date
07/29/2011
Last updated
08/14/2019
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