Jason Kowallis, OD

NPI #1942561311 in Roosevelt, Utah

Provider Information

NPI Number
1942561311
Entity Type
Individual
Name
Jason Kowallis, OD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Optometrist
Credential
OD
Enumeration Date
Jun 1, 2012
Last Updated
Feb 2, 2017

Practice Location

Address
165 W 200 N
State
Utah
ZIP Code
84066-2834
Phone
(435) 722-5890

Specialties & Taxonomy Codes

Specialty
Optometrist
Optometrist - Vision TherapyVision Therapy

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Individual Providers

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Organizations

Provider Name
Roosevelt Vision Clinic, PCNewBizBotAI Deep Dive

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