Individual
JASON WONCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
150 NORTHSHORE BLVD, 2060, SLIDELL, LA 70460-6809
(985) 641-7722
(985) 641-7894
Mailing address
11103 WEST AVE, STE 6, SAN ANTONIO, TX 78213-1370
(210) 524-6803
(210) 524-6587
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1361-495T
LA
Other
Enumeration date
12/14/2006
Last updated
07/09/2007
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