Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON M BLEAZARD, O.D.
Active Sole ProprietorJASON M BLEAZARD, O.D. is a Optometrist healthcare provider located in OTHELLO, Washington. NPI 1467734889 is currently active in the NPPES registry. Verify at CMS.
Optometrist · OTHELLO, WA
Registration Details
- NPI Number
- 1467734889
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 12, 2011 (14.95999527138 yrs)
- Last Updated
- Feb 17, 2020
- License
-
OD60231221 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1515 E COLUMBIA STOTHELLO, WA, 993441846Browse WA providers · Browse ZIP 99344
- Phone
- 5094885256
- Fax
- 5094889939
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in OTHELLO, WA
| Name | Credential | NPI |
|---|---|---|
| JORDAN EARL | OD | 1396587200 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.