Provider Demographics
NPI:1952401291
Name:BEHUNIN, JASON PRICE (OD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:PRICE
Last Name:BEHUNIN
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 1:722 W 1540 N
Mailing Address - Street 2:
Mailing Address - City:OREM
Mailing Address - State:UT
Mailing Address - Zip Code:84057-2586
Mailing Address - Country:US
Mailing Address - Phone:801-224-2515
Mailing Address - Fax:
Practice Address - Street 1:1355 SANDHILL RD
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84058-7307
Practice Address - Country:US
Practice Address - Phone:801-802-7101
Practice Address - Fax:801-802-7114
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2012-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5139706-9934152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist