Individual
JASON RO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3775 ROSWELL RD STE 150, MARIETTA, GA 30062-8821
(678) 381-2020
(678) 381-2015
Mailing address
1300 PEACHTREE INDUSTRIAL BLVD STE 1201, SUWANEE, GA 30024-4550
(678) 381-2020
(678) 381-2015
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPT.006886
OH
152W00000X
Optometrist
Primary
OPT003399
GA
Other
Enumeration date
06/13/2020
Last updated
04/22/2022
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