Provider Demographics
NPI:1366730210
Name:HAIR, JASON THOMAS (OD)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:THOMAS
Last Name:HAIR
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:203 FALLEY ST
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-4456
Mailing Address - Country:US
Mailing Address - Phone:509-627-9277
Mailing Address - Fax:
Practice Address - Street 1:2170 KEENE RD
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-7726
Practice Address - Country:US
Practice Address - Phone:509-402-2399
Practice Address - Fax:509-260-8895
Is Sole Proprietor?:No
Enumeration Date:2011-07-13
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOD60483368152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist