Individual
JASON EGBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1710 SW 9TH AVE STE 112, BATTLE GROUND, WA 98604
(360) 687-4901
Mailing address
158 RIDGE GROVE RD, KERRVILLE, TX 78028-7337
(208) 339-3603
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
8783T
TX
152W00000X
Optometrist
Primary
OD60673019
WA
Other
Enumeration date
01/18/2015
Last updated
07/09/2018
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