Provider Demographics
NPI:1104311927
Name:STONE, JASON CHRISTOPHER (OD)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:CHRISTOPHER
Last Name:STONE
Suffix:
Gender:M
Credentials:OD
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Mailing Address - Street 1:2120 ROUND ROCK AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-4010
Mailing Address - Country:US
Mailing Address - Phone:512-244-1991
Mailing Address - Fax:512-244-1786
Practice Address - Street 1:603 MALLARD LN
Practice Address - Street 2:
Practice Address - City:TAYLOR
Practice Address - State:TX
Practice Address - Zip Code:76574-1214
Practice Address - Country:US
Practice Address - Phone:512-352-7664
Practice Address - Fax:512-365-5237
Is Sole Proprietor?:No
Enumeration Date:2018-06-25
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX9515T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist