Organization
JASON WONCH OD AND ASSOCIATES APC
Active
Other names
EyeMasters
Organization subpart
No
Provider details
NPI number
Authorized official
JASON D WONCH (OWNER)
(210) 524-6803
Entity
Organization
Contact information
Practice address
1133 SAINT VINCENT AVE, BOX 34, SHREVEPORT, LA 71104-4153
(318) 227-8053
(318) 227-8054
Mailing address
PO BOX 849759, DALLAS, TX 75284-9759
(210) 524-6803
(210) 524-6587
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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