Individual
DR. JASON C. WITTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
7171 NOLENSVILLE RD STE 104, NOLENSVILLE, TN 37135-6101
(615) 815-1632
(615) 534-2178
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3662
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08148991
—
CO
Enumeration date
05/09/2006
Last updated
03/07/2023
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