Individual
MR. JASON KEITH SOBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
8841C BELAIR RD, NOTTINGHAM, MD 21236-2403
(410) 682-2888
(410) 682-9936
Mailing address
8841C BELAIR RD, NOTTINGHAM, MD 21236-2403
(410) 682-2888
(410) 682-9936
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA1481
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
745162800
—
MD
Enumeration date
04/07/2006
Last updated
11/30/2015
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