Individual
DR. JASON RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
223 MAIN ST, VINCENNES, IN 47591-1208
(812) 882-4809
Mailing address
3400 S SARE RD APT 408, BLOOMINGTON, IN 47401-8025
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004181A
IN
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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