NPI 1114278447

Jason R Besecker, OD

Practitioner Optometrist Meridian, ID

Practice location

Address: 1130 E Fairview Ave, Meridian, ID 83642-1813
Phone: (208) 490-8823
Fax: (208) 490-8525

Registered specialties (2)

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence ODP-100254 (ID)

Other Optometrist providers in Idaho →

Optometrist

Eye and Vision Services Providers Taxonomy 152W00000X Licence 4943 (MA)

Registry record

NPI: 1114278447
Entity type: Individual
Sex (as registered): Male
NPI issued: 26 Sep 2012
Record last updated: 23 Jul 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.