Provider Demographics
NPI:1366640450
Name:JASON D MUNITZ OD LLC
Entity Type:Organization
Organization Name:JASON D MUNITZ OD LLC
Other - Org Name:HOLLAND EYE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNITZ
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:215-953-1200
Mailing Address - Street 1:295 BUCK RD
Mailing Address - Street 2:SUITE 316
Mailing Address - City:HOLLAND
Mailing Address - State:PA
Mailing Address - Zip Code:18966-1733
Mailing Address - Country:US
Mailing Address - Phone:215-953-1200
Mailing Address - Fax:215-953-1201
Practice Address - Street 1:295 BUCK RD
Practice Address - Street 2:SUITE 316
Practice Address - City:HOLLAND
Practice Address - State:PA
Practice Address - Zip Code:18966-1733
Practice Address - Country:US
Practice Address - Phone:215-953-1200
Practice Address - Fax:215-953-1201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000238152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty