Individual
DR. JASON DANIEL CHMIELEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
6159 E BROADWAY BLVD, TUCSON, AZ 85711
(520) 790-2020
Mailing address
7990 E SNYDER RD APT 14202, TUCSON, AZ 85750-9030
(701) 391-1918
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2204
AZ
Other
Enumeration date
07/28/2017
Last updated
01/09/2019
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