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Individual

DR. JEFFREY S HASSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
3231 S NATIONAL AVE, SUITE 165, SPRINGFIELD, MO 65807-7304
(417) 820-9393
(417) 820-9725
Mailing address
PO BOX 2580, SPRINGFIELD, MO 65801-2580
(417) 829-4620

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
T002235
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
108953
MO BLUE SHIELD
MO
05
124153722
AR
05
312015316
MO
01
81588
ARK BLUE SHIELD
AR
Enumeration date
02/06/2007
Last updated
05/13/2013
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