Holmes, Jason Edward

Holmes, Jason Edward is an individual health care provider with primary practice located at 1553 W 9000 S , West Jordan UT 84088-9219. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Holmes, Jason Edward can be contacted via phone (801) 561-7300.

Contact Information

Primary practice address
1553 W 9000 S West Jordan UT 84088-9219
Phone: (801) 561-7300
Fax: (801) 561-7300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 114312-9934 Utah

Profile Details

NPI number 1194776005
LBN Legal business name Holmes, Jason Edward
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jul 9th, 2007 - about 17 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 1194776005 NPPES
Utah MEDICAID 410985054103

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