JASON M BLEAZARD

OTHELLO, WA
NPI1467734889
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: WA  OD60231221)
Enumeration Date2011-09-12
Last Update Date2020-02-17
Business Address
JASON M BLEAZARD O.D.
1515 E COLUMBIA ST
OTHELLO, WA 99344-1846
Phone number: 509-488-5256
Mailing Address
JASON M BLEAZARD O.D.
1515 E COLUMBIA ST
OTHELLO, WA 99344-1846
Phone number: 509-488-5256