Organization
JASON B. HOWARD, O.D. L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON BRIAN HOWARD (OPTOMETRIST, OWNER)
(859) 986-3759
Entity
Organization
Contact information
Practice address
120 JILL DR, BEREA, KY 40403-1677
(859) 986-3759
Mailing address
120 JILL DR, BEREA, KY 40403-1677
(859) 986-3759
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0043107
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77001188
—
KY
Enumeration date
07/05/2007
Last updated
08/22/2020
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