Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON BOLDT, LDO
Active Sole ProprietorJASON BOLDT, LDO is a Optician, Dispensing healthcare provider located in HIRAM, Georgia. NPI 1841057122 is currently active in the NPPES registry. Verify at CMS.
Optician, Dispensing · HIRAM, GA
Registration Details
- NPI Number
- 1841057122
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 4, 2024 (2.4181609116275 yrs)
- Last Updated
- Mar 4, 2024
- License
-
LDO002851 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4166 JIMMY LEE SMITH PKWYHIRAM, GA, 301412647Browse GA providers · Browse ZIP 30141
- Phone
- 4702720300
- Primary Specialty
-
Optician, Dispensing
156FX1800X
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.