Gagnon, Jason George

Gagnon, Jason George is an individual health care provider with primary practice located at 2655 Wheaton Way , Bremerton WA 98310-3318. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gagnon, Jason George can be contacted via phone (360) 377-3703.

Contact Information

Primary practice address
2655 Wheaton Way Bremerton WA 98310-3318
Phone: (360) 377-3703
Fax: (360) 377-9469
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0261010OD00003606 Washington

Profile Details

NPI number 1730268731
LBN Legal business name Gagnon, Jason George
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Jul 18th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730268731 NPPES
Washington MEDICAID 2023786

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