Individual
DR. JASON MCBURNIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1229 165TH ST, HAMMOND, IN 46320-2746
(219) 931-8733
Mailing address
5 CHURCH RD, HOLDEN, ME 04429-7150
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004254
IN
152W00000X
Optometrist
OPT-002366
AZ
Other
Enumeration date
07/15/2019
Last updated
01/31/2023
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