Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON KOWALLIS, OD
ActiveJASON KOWALLIS, OD is a Optometrist healthcare provider located in ROOSEVELT, Utah. NPI 1942561311 is currently active in the NPPES registry. Verify at CMS.
Optometrist · ROOSEVELT, UT
Registration Details
- NPI Number
- 1942561311
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 1, 2012 (14.212278876509 yrs)
- Last Updated
- Feb 2, 2017
- Licenses
-
8288486 (UT)8288486 (UT)
Practice Information
- Address
-
165 W 200 NROOSEVELT, UT, 840662834Browse UT providers · Browse ZIP 84066
- Phone
- 4357225890
- Primary Specialty
-
Optometrist
152W00000X
- Additional Specialty
- Vision Therapy Optometrist
Other Optometrist Providers in ROOSEVELT, UT
| Name | Credential | NPI |
|---|---|---|
| MR. SCOTT H KOWALLIS | O.D. | 1861487050 |
| JON PRESTON WILSON | O.D. | 1760477731 |
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.