Jason Lee Green, O.D.

NPI #1952717662 in Mission, Kansas

Provider Information

NPI Number: 1952717662
Entity Type: Individual
Name: Jason Lee Green, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 2, 2014
Last Updated: Jan 27, 2015

Practice Location

Address: 6120 JOHNSON DR
City: Mission
State: Kansas
ZIP Code: 66202-3333
Phone: (913) 262-3937

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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