Individual
DR. JASON B HALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
350 HARBISON BLVD, COLUMBIA, SC 29212-2248
(803) 749-6878
(803) 749-6089
Mailing address
504 PINE LOG RUN, CHAPIN, SC 29036-7376
(845) 238-7159
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2002019563
MO
152W00000X
Optometrist
Primary
2299
SC
Other
Enumeration date
10/13/2005
Last updated
07/14/2022
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