Individual
JASON GUO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
15153 5TH AVE SW, BURIEN, WA 98166-3072
(206) 260-2503
(855) 929-1515
Mailing address
34719 6TH AVE S, FEDERAL WAY, WA 98003-8714
(206) 260-2503
(855) 929-1515
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD61316792
WA
152W00000X
Optometrist
OPT003350
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2231369
—
WA
Enumeration date
07/14/2021
Last updated
01/03/2024
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