Individual
DR. JASON MICHAEL PAIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
649 N LEWIS RD STE 120, LIMERICK, PA 19468-1234
(610) 495-6851
(610) 495-6853
Mailing address
649 N LEWIS RD STE 120, LIMERICK, PA 19468-1234
(610) 495-6851
(610) 495-6853
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000342
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2182692000
BLUE CROSS/BLUE SHIELD
PA
Enumeration date
06/02/2005
Last updated
06/24/2008
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