JASON WONCH OD AND ASSOCIATES APC (NPI# 1699050849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699050849 |
| Entity Type | Organization |
| Organization Name | JASON WONCH OD AND ASSOCIATES APC |
| Other Organization Name | EYEMASTERS |
| Practice Address |
1133 Saint Vincent Ave Box 34 Shreveport LA 71104-4153 |
| Mailing Address |
Po Box 849759 Dallas TX 75284-9759 |
| Practice Telephone | 3182278053 |
| Practice Fax Number | 3182278054 |
| Mailing Telephone | 2105246803 |
| Mailing Fax Number | 2105246587 |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2011-10-19 |
| Authorized Official Name | JASON D WONCH (OWNER) |
| Authorized Official Telephone | 2105246803 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| EyeMasters | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093816167 | Jason Wonch Od and Associates Apc | Eyewear Supplier (Equipment, not the service) | 5953 West Park Avenue, Houma, LA 70364 | 2006-09-25 |
| Street Address |
1133 SAINT VINCENT AVE BOX 34 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71104-4153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679876023 | George Michael Bakowski | Optometrist | 1133 Saint Vincent Ave, Ste 120, Box 216, Shreveport, LA 71104-4153 | 2010-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326582263 | Dana Jackson | Counselor | 2425 Youree Drive, Shreveport, LA 71104 | 2016-12-12 |
| 1154772929 | Belena Cawthorne | Case Manager/Care Coordinator | 2040 Southern Ave, Shreveport, LA 71104 | 2016-06-23 |
| 1437505286 | Courtney Espenan | Counselor | 3825 Gilbert Dr Ste 124, Shreveport, LA 71104 | 2016-05-11 |
| 1215390497 | Joshua Mitchell | Counselor | 1106 Dalzell Street, Shreveport, LA 71104 | 2016-04-04 |
| 1699135426 | Amy Lutricia Krohn | Counselor | 1041 Dalzell St, Shreveport, LA 71104 | 2016-03-07 |
| 1225497779 | Annie Redding II | Counselor | 2525 Youree Dr Suite 110, Shreveport, LA 71104 | 2016-02-12 |
| 1891152328 | Council On Alcoholism and Drug Abuse of Northwest Louisiana | Community/Behavioral Health | 2000 Fairfield Ave, Shreveport, LA 71104 | 2016-01-28 |
| 1922465731 | Marteze Singleton | Case Manager/Care Coordinator | 2525 Youree Dr Ste 10, Shreveport, LA 71104 | 2016-01-25 |
| 1891160297 | Damara Mora | Counselor | 2620 Centenary Blvd Bldg3 Ste 312, Shreveport, LA 71104 | 2015-12-10 |
| 1962876250 | Chastity Shermaine Graham | Counselor | 2620 Centenary Blvd Ste 312, Shreveport, LA 71104 | 2015-11-24 |
| Find all providers in zip 71104 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689932899 | Us Vision Optical Inc. | Eyewear Supplier (Equipment, not the service) | 7451 Youree Dr, Shreveport, LA 71105-5535 | 2012-04-25 |
| 1972821650 | Optical Zone LLC | Eyewear Supplier (Equipment, not the service) | 7607 Youree Dr, Shreveport, LA 71105-5501 | 2010-05-05 |
| 1518284488 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 3601 S Eastern Ave, St Vincent Mall, Shreveport, LA 71104-4123 | 2010-04-30 |
| 1679769517 | Tri State Optical Co Inc | Eyewear Supplier (Equipment, not the service) | 1014 Creswell St, Tri State Optical, Shreveport, LA 71101 | 2007-09-24 |
| 1902949654 | Vision One | Eyewear Supplier (Equipment, not the service) | 1133 St. Vincent Ave #216, Suite 120 Mall St. Vincent, Shreveport, LA 71104-4147 | 2007-02-14 |
| 1275670606 | Duncan Optical Dispensary Inc | Eyewear Supplier (Equipment, not the service) | 4843 Line Avenue, Shreveport, LA 71106-1529 | 2007-02-01 |
| 1346332236 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 1133 St. Vincent Avenue, Shreveport, LA 71104 | 2006-09-28 |
| 1497846554 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 3601 Sern Ave, St Vincent Mall, Shreveport, LA 71104-4123 | 2006-09-27 |
| 1689043051 | Affinity Eyewear LLC | Eyewear Supplier (Equipment, not the service) | 2530 Bert Kouns Industrial Loop, Suite 116, Shreveport, LA 71118-3132 | 2015-09-16 |
| 1053719005 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 7020 Youree Dr, Suite A, Shreveport, LA 71105-5109 | 2014-12-08 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71104 |
Please comment or provide details below to improve the information on JASON WONCH OD AND ASSOCIATES APC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.