Individual
JASON HA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
6320 MACK RD, SACRAMENTO, CA 95823-4646
(916) 421-3986
Mailing address
6320 MACK RD, SACRAMENTO, CA 95823-4646
(682) 556-0583
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
35645
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1153
STATE LICENSE
NV
Enumeration date
11/28/2022
Last updated
11/22/2025
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