Jason R Besecker, O.D.

NPI #1114278447 in Meridian, Idaho

Provider Information

NPI Number: 1114278447
Entity Type: Individual
Name: Jason R Besecker, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Sep 26, 2012
Last Updated: Jul 23, 2021

Practice Location

Address: 1130 E FAIRVIEW AVE
City: Meridian
State: Idaho
ZIP Code: 83642-1813
Phone: (208) 490-8823

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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