NPI 1225190440

Jason Wonch, OD

Practitioner Optometrist Slidell, LA

Practice location

Address: 150 Northshore Blvd 2060, Slidell, LA 70460-6809
Phone: (985) 641-7722
Fax: (985) 641-7894
Mailing address: 11103 West Ave STE 6, San Antonio, TX 78213-1370

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1361-495T (LA)

Other Optometrist providers in Louisiana →

Registry record

NPI: 1225190440
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Dec 2006
Record last updated: 9 Jul 2007

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.