Lewis, Jason Randall

Lewis, Jason Randall is an individual health care provider with primary practice located at 9040A Jackson Ave , Tacoma WA 98431-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery is his primary health care specialty. Lewis, Jason Randall can be contacted via phone (253) 968-1110.

Contact Information

Primary practice address
9040A Jackson Ave Tacoma WA 98431-0001
Phone: (253) 968-1110
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X R6036 Texas
Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery 207WX0200X R6036 Texas

Profile Details

NPI number 1912323478
LBN Legal business name Lewis, Jason Randall
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2014
Last updated Jun 14th, 2023 - about 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1912323478 NPPES
Texas MEDICAID 386074401
Texas Other 386074402

Popular Providers