Individual
DR. JASON D OGONOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
42 3RD ST, TROY, NY 12180-3906
(518) 274-8181
(518) 272-8164
Mailing address
42 3RD STREET, TROY, NY 12180-3906
(518) 274-8181
(518) 272-8164
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPC003927
FL
152W00000X
Optometrist
Primary
TUV8372-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04268902
—
NY
Enumeration date
01/23/2007
Last updated
09/07/2016
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