Provider Demographics
NPI:1922333913
Name:OILAR, JASON RONALD (OD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:RONALD
Last Name:OILAR
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611 J ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OR
Mailing Address - Zip Code:97477-4252
Mailing Address - Country:US
Mailing Address - Phone:541-726-5055
Mailing Address - Fax:541-747-5440
Practice Address - Street 1:1611 J ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97477-4252
Practice Address - Country:US
Practice Address - Phone:541-726-5055
Practice Address - Fax:541-747-5440
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-08
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3274152W00000X
OR3595AT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN410003816Medicare PIN