Provider Demographics
NPI:1861655409
Name:XUNA, JASON (OD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:
Last Name:XUNA
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1881 79TH STREET CSWY
Mailing Address - Street 2:2006
Mailing Address - City:NORTH BAY VILLAGE
Mailing Address - State:FL
Mailing Address - Zip Code:33141-4222
Mailing Address - Country:US
Mailing Address - Phone:305-717-8181
Mailing Address - Fax:305-675-0443
Practice Address - Street 1:1881 79TH STREET CSWY
Practice Address - Street 2:2006
Practice Address - City:NORTH BAY VILLAGE
Practice Address - State:FL
Practice Address - Zip Code:33141-4222
Practice Address - Country:US
Practice Address - Phone:305-717-8181
Practice Address - Fax:305-675-0443
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-03
Last Update Date:2016-10-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY56007318152W00000X
FLOPC 4397152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist