MR. JASON ELLEN, O.D.

Optometrist

Active Individual
NPI: 1962405928

Practice Address

244 S. GATEWAY PLACE
SUITE 401
Jenks, OK 74037

Phone: (918) 747-2020

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes 2272 (OK)

Frequently Asked Questions

NPI 1962405928 is the National Provider Identifier for MR. JASON ELLEN, O.D., a Optometrist provider located in Jenks, OK. This NPI was enumerated on May 24, 2005.
MR. JASON ELLEN, O.D. practices at 244 S. GATEWAY PLACE, SUITE 401, Jenks, OK 74037.

Quick Facts

NPI
1962405928
Type
Individual
Enumerated
May 24, 2005
Last Updated
Mar 22, 2019

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