Provider Demographics
NPI:1952570400
Name:MCCAIN, JASON C (OD)
Entity type:Individual
Prefix:DR
First Name:JASON
Middle Name:C
Last Name:MCCAIN
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 1:1401 WILLIAMS DR
Mailing Address - Street 2:
Mailing Address - City:GEORGETOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78628-4115
Mailing Address - Country:US
Mailing Address - Phone:512-863-2078
Mailing Address - Fax:512-869-2077
Practice Address - Street 1:1401 WILLIAMS DR
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:TX
Practice Address - Zip Code:78628-4115
Practice Address - Country:US
Practice Address - Phone:512-863-2078
Practice Address - Fax:512-869-2077
Is Sole Proprietor?:No
Enumeration Date:2008-02-28
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7127TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist