Jason Lee Ervin
Jason Lee Ervin is an Optician in New Boston, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2023
Practice location Address checks out
4490 Gallia StNew Boston, OH 45662-5553
Phone: (740) 456-8650
Fax: (740) 456-8652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence OP.006432-SC (OH) |
|---|
Record details
| NPI number | 1609573526 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 10, 2023 |
| Last updated in NPPES | February 10, 2023 |
| Certification date | February 10, 2023 |
| Mailing address | 4490 Gallia St, New Boston, OH 45662-5553 |
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