Jason Wonch Od and Associates a P C

NPI #1972673424 in Harvey, Louisiana

Provider Information

NPI Number: 1972673424
Entity Type: Organization
Organization Name: Jason Wonch Od and Associates a P C
Primary Specialty: Eyewear Supplier
Enumeration Date: Nov 9, 2006
Last Updated: Jan 8, 2013

Practice Location

Address: 1801 MANHATTAN BLVD
Address 2: SUITE U
City: Harvey
State: Louisiana
ZIP Code: 70058-7300
Phone: (504) 367-3930

Authorized Official

Name: JASON WONCH, OD
Title: OWNER
Phone: (303) 520-4113

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Eyewear Supplier	332H00000X	Primary

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