Jason Gerard Jedlicka O.D.

  • NPI 1669484622
According to our database, the NPI number for Jason Gerard Jedlicka O.D. is 1669484622 and activated since 17 years ago. Jason Gerard Jedlicka O.D. is an individual provider who specializes in Optometrist, and the primary practice location is 744 E 3rd St, Bloomington, IN 47405. You can also contact Jason Gerard Jedlicka O.D. via telephone number is (812) 855-8436. Provider NPI information was last updated on 10/21/2015.

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Overview of Jason Gerard Jedlicka O.D.

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 08/11/2006
  • Last updated: 10/21/2015

Primary Scrop of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 18003875
  • License State: IN

Provider Mailing Address

  • Address: 830 Dakota Pt
    Jordan, MN 55352
  • Phone: 952-492-3135
  • Fax: 952-475-3680

Provider Practice Location

  • Address: 744 E 3rd St
    Bloomington, IN 47405
  • Phone: 812-855-8436
  • Fax: 812-855-1683

Scope of Practice

  • Taxonomy Code: 152W00000X
  • Specialty: Optometrist
  • License Number: 18003875
  • License State: IN
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 638817500
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: MN
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jason Gerard Jedlicka O.D.?
  • A: The npi number for Jason Gerard Jedlicka O.D. is 1669484622.
  • Q: What are Jason Gerard Jedlicka O.D.'s specialties?
  • A: Jason Gerard Jedlicka O.D.'s specialties are Optometrist and different specialities.
  • Q: What is the medical license for Jason Gerard Jedlicka O.D.?
  • A: The medical license number for Jason Gerard Jedlicka O.D. is 18003875 and issued in IN in USA.
  • Q: Where is Jason Gerard Jedlicka O.D. practice location?
  • A: Jason Gerard Jedlicka O.D. is practicing at 744 E 3rd St, Bloomington, IN 47405.
  • Q: How to contact Jason Gerard Jedlicka O.D.?
  • A: You can contact Jason Gerard Jedlicka O.D. via 812-855-8436.