Organization
B JEFFREY BLUE OD AND JASON CHANG OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON CHANG OD (CORPORATE OFFICER)
(805) 542-0700
Entity
Organization
Contact information
Practice address
1245 BROAD ST, SAN LUIS OBISPO, CA 93401-3907
(805) 542-0700
(805) 784-9309
Mailing address
1245 BROAD ST, SAN LUIS OBISPO, CA 93401-3907
(805) 542-0700
(805) 784-9309
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
7135
—
152WL0500X
Low Vision Rehabilitation Optometrist
13148
CA
Other
Enumeration date
04/14/2009
Last updated
04/05/2018
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