Individual
JASON JAHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1208 22ND AVE S, BROOKINGS, SD 57006-2804
(605) 692-2020
(605) 692-9594
Mailing address
1208 22ND AVE S, BROOKINGS, SD 57006-0284
(605) 692-2020
(605) 692-9594
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
142
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0073102
BCBS OF SD
SD
01
—
22104
SIOUX VALLEY HEALTH
SD
01
—
419
DAKOTA CARE
SD
01
—
4C035JA
BCBS OF MN
MN
05
—
9280170
—
SD
01
—
P00815934
RAILROAD MEDICARE
SD
Enumeration date
09/15/2005
Last updated
02/17/2020
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