Jason Wonch, OD

NPI #1225190440 in Slidell, Louisiana

Provider Information

NPI Number: 1225190440
Entity Type: Individual
Name: Jason Wonch, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Dec 14, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 150 NORTHSHORE BLVD
Address 2: 2060
City: Slidell
State: Louisiana
ZIP Code: 70460-6809
Phone: (985) 641-7722

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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