Individual
JASON LEE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6120 JOHNSON DR, MISSION, KS 66202-3333
(913) 262-3937
(913) 262-3942
Mailing address
6120 JOHNSON DR, MISSION, KS 66202-3333
(913) 262-3937
(913) 262-3942
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1979
KS
152W00000X
Optometrist
8506T
TX
Other
Enumeration date
07/02/2014
Last updated
01/27/2015
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