Individual
JASON GEORGE GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2655 WHEATON WAY, BREMERTON, WA 98310-3318
(360) 377-3703
(360) 377-9469
Mailing address
2655 WHEATON WAY, BREMERTON, WA 98310-3318
(360) 377-3703
(360) 377-9469
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0261010OD00003606
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2023786
—
WA
Enumeration date
11/02/2006
Last updated
10/14/2025
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