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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JASON LEE ERVIN

Active Sole Proprietor

JASON LEE ERVIN is a Optician, Dispensing healthcare provider located in NEW BOSTON, Ohio. NPI 1609573526 is currently active in the NPPES registry. Verify at CMS.

Optician, Dispensing · NEW BOSTON, OH

Registration Details

NPI Number
1609573526
Provider Type
Individual
Gender
Male
NPI Issued
Feb 10, 2023 (3.5423563019213 yrs)
Last Updated
Feb 10, 2023
License
OP.006432-SC (OH)
Sole Proprietor
Yes

Practice Information

Address
4490 GALLIA ST
NEW BOSTON, OH, 456625553
Browse OH providers · Browse ZIP 45662
Phone
7404568650
Fax
7404568652
Primary Specialty
Optician, Dispensing
156FX1800X

Other Optician, Dispensing Providers in NEW BOSTON, OH

Name Credential NPI
MELISSA KAY DAVIS 1841997863
ANGELA RAE ODLE 1760189708
DASHE MONIQUE HALL LDO, ABOC, NCLEC 1134826779
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.