NPI 1407891401 · live from the CMS NPI Registry
Jason K Bates, OD
Optometrist in Ashland, OR. National Provider Identifier 1407891401, active.
NPI record
| NPI | 1407891401 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 215 4th St, Ashland, OR 97520 |
| Practice phone | 541-708-5350 |
| Enumerated | June 17, 2006 |
| Last updated | May 22, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 3136AT (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.