Wallace, Jason

Wallace, Jason is an individual health care provider with primary practice located at 502 Celebration Ave , Celebration FL 34747-4687. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Wallace, Jason can be contacted via phone (407) 566-8505.

Contact Information

Primary practice address
502 Celebration Ave Celebration FL 34747-4687
Phone: (407) 566-8505
Fax: (407) 566-8253
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC4182 Florida

Profile Details

NPI number 1689751166
LBN Legal business name Wallace, Jason
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Nov 8th, 2017 - about 7 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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