person
Jason Lee Ervin
Optician in New Boston, Ohio
NPI 1609573526

Jason Lee Ervin is a Optician based in New Boston, OH and is specialized in Optician. Jason Lee Ervin practices in New Boston, OH. The NPI Number for Jason Lee Ervin is 1609573526 and holds a License No. OP.006432-SC (Ohio).

The current practice location address for Jason Lee Ervin is 4490 Gallia St, New Boston, OH and can be reached out via phone at 740-456-8650 and via fax at 740-456-8652.

Location: 4490 Gallia St, New Boston, OH, 45662-5553
person
Provider Profile Details
NPI Number
1609573526
Provider Name
Jason Lee Ervin
Credential
Provider Entity Type
Individual
Gender
Male
Address
4490 Gallia St, New Boston, OH, 45662-5553
Phone Number
740-456-8650
Fax Number
740-456-8652
Provider Enumeration Date
02/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4490 Gallia St
City
State
Zip
45662-5553
Phone Number
740-456-8650
Fax Number
740-456-8652
person
Provider Business Mailing Address Details
Address
4490 Gallia St
City
State
Zip
45662-5553
Phone Number
740-456-8650
Fax Number
740-456-8652
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
OP.006432-SC (Ohio)
Definition
Definition to come...
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