Thomas Wayne Jasper, O.D. Valid NPI

Individual provider · Optometrist · Hazelwood, MO

NPI

1962497180

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

T02794 (MO)

Sex

Male

Sole proprietor

No

Enumerated

2005-09-14

Last updated

2007-07-08