Pingel, Jason Richard
Pingel, Jason Richard is an sole proprietor health care provider with primary practice located at 6120 Johnson Dr , Mission KS 66202-3333. He recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Sports Vision. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Pingel, Jason Richard can be contacted via phone (913) 262-3937.Contact Information
Primary practice address
6120 Johnson Dr
Mission KS 66202-3333
Phone: (913) 262-3937
Fax: (913) 262-3942
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1671 | Kansas |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 1671 | Kansas |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 1671 | Kansas |
| Eye and Vision Services Providers / Sports Vision | 152WS0006X | 1671 | Kansas |
Profile Details
| NPI number | 1063449189 |
|---|---|
| LBN Legal business name | Pingel, Jason Richard |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 26th, 2006 |
| Last updated | Feb 19th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063449189 | NPPES |
| Kansas | MEDICAID | 200419080A |
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