Jason B Berkebile O.D.

NPI 1609065077 - Optometrist - 152W00000X

NPI Details
NPI 1609065077
Gender Male
Enumeration Date 10/22/2007
Last Updated 09/02/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
4101 CAMPUS RIDGE RD
MATTHEWS NC, 28105-5077, US
Phone (704) 234-1930
Fax
Business Location
4101 CAMPUS RIDGE RD
MATTHEWS NC, 28105-5077, US
Phone (704) 234-1930
Fax
Toxanomy
Taxonomy Code 152W00000X
License State North Carolina
License Number 2079
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According to our database, Dr. Jason B Berkebile O.D. NPI is 1609065077, taxonomy code is 152W00000X and license number is 2079, license state is located at North Carolina. Jason B Berkebile O.D. physically located at 4101 Campus Ridge Rd, Matthews NC, 28105-5077. NPI Number Jason B Berkebile O.D. has the Individual type.

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1609065077 NPI number is provided on an as is basis without warranty of any kind. 1609065077 is maintained by the National Plan & Provider Enumeration System. The contents of Jason B Berkebile O.D. are for informational purposes only.