JASON KOWALLIS, OD

Optometrist

Active Individual
NPI: 1942561311

Practice Address

165 W 200 N
Roosevelt, UT 84066

Phone: (435) 722-5890

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes 8288486 (UT)
Optometrist - Vision Therapy 152WV0400X No 8288486 (UT)

Frequently Asked Questions

NPI 1942561311 is the National Provider Identifier for JASON KOWALLIS, OD, a Optometrist provider located in Roosevelt, UT. This NPI was enumerated on June 1, 2012.
JASON KOWALLIS, OD practices at 165 W 200 N, Roosevelt, UT 84066.

Quick Facts

NPI
1942561311
Type
Individual
Enumerated
Jun 1, 2012
Last Updated
Feb 2, 2017

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