Organization
JASON HULL OD LLC
Active
Other names
Jason Hull OD & Associates
Organization subpart
No
Provider details
NPI number
Authorized official
JASON HULL OD (OPTOMETRIST)
(724) 822-7911
Entity
Organization
Contact information
Practice address
45 WILLIAMSON RD, GREENVILLE, PA 16125-1253
(724) 589-0234
Mailing address
1471 HENDERSONVILLE RD, SANDY LAKE, PA 16145-3419
(724) 822-7911
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076166690001
—
PA
Enumeration date
09/05/2019
Last updated
09/18/2019
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