Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JASON LEE ELLEN, O.D.
ActiveMR. JASON LEE ELLEN, O.D. is a Optometrist healthcare provider located in JENKS, Oklahoma. NPI 1962405928 is currently active in the NPPES registry. Verify at CMS.
Optometrist · JENKS, OK
Registration Details
- NPI Number
- 1962405928
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 24, 2005 (21.190289414175 yrs)
- Last Updated
- Mar 22, 2019
- License
-
2272 (OK)
Practice Information
- Address
-
244 S. GATEWAY PLACESUITE 401JENKS, OK, 74037Browse OK providers · Browse ZIP 74037
- Phone
- 9187472020
- Fax
- 9187472056
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in JENKS, OK
| Name | Credential | NPI |
|---|---|---|
| DR. THOMAS EUGENE VANDERPOOL | OD | 1831278654 |
| DR. TAMMY MARIE SCHEFF-PAUL | O.D. | 1881756229 |
| DR. MARY JOEL STURM | O.D. | 1437279924 |
| MR. BRANDON HADEL | O.D. | 1427462050 |
| HALEY L BALDRIDGE | OD | 1871071241 |
| DR. SOPHIA LEUNG | OD | 1942855325 |
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.