Individual
DR. JASON L KAMINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D., F.A.A.O.
Contact information
Practice address
2130 MOUNTAIN VIEW AVE STE 207, LONGMONT, CO 80501-3177
(303) 772-2755
(303) 772-0104
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1875
CO
152WC0802X
Corneal and Contact Management Optometrist
1875
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43271049
—
CO
Enumeration date
05/31/2005
Last updated
03/07/2023
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