Individual
DR. JASON I GIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
9115 S TACOMA WAY, #106, TACOMA, WA 98499
(253) 588-4225
(253) 588-4402
Mailing address
9115 S TACOMA WAY, #106, TACOMA, WA 98499
(253) 588-4225
(253) 588-4402
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
3284
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2019529
—
WA
01
—
625443
VISION CARE PLAN
WA
01
—
7125
MEDICAL EYE SERVICE
WA
01
—
GI6814
REGENCE BLUE SHIELD
WA
01
—
WA0716
NORTHWEST BENEFIT NETWORK
WA
01
—
WA3284
EYEMED VISION
WA
Enumeration date
09/29/2006
Last updated
07/09/2007
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