Individual
JASON TODD RANSDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1277
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2Z1528
HEALTHNET
—
01
—
AZ0904740
BCBS
—
01
—
DN9981
MEDICARE RAILROAD
—
Enumeration date
05/23/2006
Last updated
03/02/2021
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