Organization
JACK F MASON MD PROFESSIONAL CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK F MASON MD (PRESIDENT)
(707) 462-0581
Entity
Organization
Contact information
Practice address
555 S DORA ST, UKIAH, CA 95482-5424
(707) 462-0581
(707) 463-0814
Mailing address
555 S DORA ST, UKIAH, CA 95482-5424
(707) 462-0581
(707) 463-0814
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
207W00000X
Ophthalmology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0080990
—
CA
Enumeration date
06/17/2006
Last updated
09/11/2025
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